Organization Active NPI

Madison County Emergency Medical District

Doing business as Madison County EMD

  • Land Ambulance
  • London, OH
National Provider Identifier
1679506703
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MADISON COUNTY EMERGENCY MEDICAL DISTRICT
Doing business as
Madison County EMD
Practice address
91 State Route 56 NW
London, OH 43140-8889
Phone
(740) 852-5390
Fax
(740) 852-7501
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Authorized official

Name
Brian S Bennington
Title
EMS Chief
Phone
(740) 852-3393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

91 State Route 56 NW
London, OH 43140-8889

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (740) 490-7828

Other identifiers 2

IdentifierTypeStateIssuer
000000006192OtherOHANTHEM
0327391MedicaidOH

Other names 1

  • Madison County EMD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040406001135 OH Part B Supplier - Ambulance Service Supplier 8325031289 Practice locations: London, OH

National Provider Directory

National Provider Directory

Locations

6770 State Route 38 SW
London, OH 43140
Phone (740) 490-7828

91 State Route 56 NW
London, OH 43140
Phone (216) 852-5390

40 E Center St
London, OH 43140
Phone (740) 852-5390

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1679506703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "740-490-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 STATE ROUTE 56 NW",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431408889",
            "telephone_number": "740-852-5390",
            "fax_number": "740-852-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY EMERGENCY MEDICAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "BENNINGTON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "740-852-3393"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000006192",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison County EMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.