Active NPI
Reno Volunteer Fire Department Inc
- Ambulance
- Marietta, OH
National Provider Identifier
1669631693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- RENO VOLUNTEER FIRE DEPARTMENT INC
- Practice address
- 250 Cornerville Rd
Marietta, OH 45750 - Phone
- (740) 376-9330
- NPI assigned
- Jun 5, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Randy J Lisk
- Title
- Assistant Chief
- Phone
- (740) 376-9330
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | OH | Primary | |
| Land Ambulance | 3416L0300X | OH |
Addresses
Primary practice location
250 Cornerville Rd
Marietta, OH 45750
Mailing address
PO Box 346
Reno, OH 45773-0346
Phone (740) 376-9330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080826000233 | OH | Part B Supplier - Ambulance Service Supplier | 0840365854 | Practice locations: Marietta, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359504000000",
"number": "1669631693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 346",
"city": "RENO",
"state": "OH",
"postal_code": "457730346",
"telephone_number": "740-376-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 CORNERVILLE RD",
"city": "MARIETTA",
"state": "OH",
"postal_code": "45750",
"telephone_number": "740-376-9330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENO VOLUNTEER FIRE DEPARTMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-05",
"last_updated": "2013-01-30",
"status": "A",
"authorized_official_last_name": "LISK",
"authorized_official_first_name": "RANDY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ASSISTANT CHIEF",
"authorized_official_telephone_number": "740-376-9330",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.