M&M Fire Department

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

M&M FIRE DEPARTMENT

Practice address

77 S 4TH St
McConnelsville, OH 43756-1201

Phone

(740) 962-3444

Fax

(740) 962-4798

NPI assigned

Nov 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Waylon Clark

Title

EMS Coord

Phone

(740) 538-4548

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• M&M FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669548004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 S 4TH ST",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561201",
            "telephone_number": "740-962-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 S 4TH ST",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561201",
            "telephone_number": "740-962-3444",
            "fax_number": "740-962-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M FIRE DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "WAYLON",
        "authorized_official_title_or_position": "EMS COORD",
        "authorized_official_telephone_number": "740-538-4548"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010029",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M&M FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M&M FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah Elaine Kirkbride
• Thomas Knight
• Frank L Koehnle III
• Tabitha Pauline Kutscherenko, QMHS
• Amanda Marie Love, CPRS
• Linda Kay Madden
• Rachel Morgan Malley, CDCA,QMHS
• Carolyn Elaine Mays, LPN
• Janelle McConnell, APRN, FNP-BC
• Lori Ellen McGrath

• Land Ambulance in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.