Organization Active NPI

Southeastern Hardin Ambulance District

  • Land Ambulance
  • Mt. Victory, OH
National Provider Identifier
1679624480
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTHEASTERN HARDIN AMBULANCE DISTRICT
Practice address
212 South Wheeler St
Mt. Victory, OH 43340
Phone
(937) 363-2134
NPI assigned
Jan 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lynda S. Vermillion
Title
Fiscal Officer
Phone
(937) 363-2134

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

NPPES NPI Registry

Primary practice location

212 South Wheeler St
Mt. Victory, OH 43340

Mailing address

P.O. Box 85
Mt. Victory, OH 43340
Phone (937) 593-9748

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0268973MedicaidOH

Other names 1

NPPES NPI Registry
  • Southeast Hardin Ambulance District Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 9, 2015.

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1679624480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 85",
            "city": "MT. VICTORY",
            "state": "OH",
            "postal_code": "43340",
            "telephone_number": "937-593-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 SOUTH WHEELER ST",
            "city": "MT. VICTORY",
            "state": "OH",
            "postal_code": "43340",
            "telephone_number": "937-363-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN HARDIN AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "VERMILLION",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "937-363-2134"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0268973",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Hardin Ambulance District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt. Victory, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.