Ejfed
Organization Active NPI Land Ambulance · Sardinia, OH
NPI 1649764705 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1649764705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- EJFED
- Practice address
- 169 Winchester St
Sardinia, OH 45171-9326 - Phone
- (937) 446-3152
- NPI assigned
- Jun 21, 2018
- Organization subpart
- No
Authorized official
- Name
- Lisa Reeves
- Title
- Captain
- Phone
- (513) 502-9378
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190306003659 | OH | Part B Supplier - Ambulance Service Supplier | 7012256159 | Practice locations: Sardinia, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician |
207PE0004X | |||
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
169 Winchester St
Sardinia, OH 45171-9326
Mailing address
PO Box 316
Sardinia, OH 45171-0316
Phone (513) 502-9378
Other names
- Eastern Joint Fire and EMS District
Other providers in Sardinia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.