Organization Active NPI

Village of Antwerp

  • Land Ambulance
  • Antwerp, OH
National Provider Identifier
1679772263
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
VILLAGE OF ANTWERP
Practice address
204 W. Daggett St.
Antwerp, OH 45813
Phone
(419) 258-1832
Fax
(419) 258-2558
NPI assigned
Jul 13, 2007
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Authorized official

Name
Ashley Marie McDougall, AEMT
Title
EMS Billing Clerk
Phone
(419) 258-1832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

204 W. Daggett St.
Antwerp, OH 45813

Mailing address

PO Box 1046
Antwerp, OH 45813-1046
Phone (419) 258-1832

Other identifiers 1

IdentifierTypeStateIssuer
0220577MedicaidOHMEDICAID PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000164 OH Part B Supplier - Ambulance Service Supplier 7315844495 Practice locations: Antwerp, OH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1679772263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "ANTWERP",
            "state": "OH",
            "postal_code": "458131046",
            "telephone_number": "419-258-1832",
            "fax_number": "419-258-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W. DAGGETT ST.",
            "city": "ANTWERP",
            "state": "OH",
            "postal_code": "45813",
            "telephone_number": "419-258-1832",
            "fax_number": "419-258-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ANTWERP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EMS BILLING CLERK",
        "authorized_official_telephone_number": "419-258-1832",
        "authorized_official_credential": "AEMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": "MEDICAID PROVIDER #",
            "identifier": "0220577",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Antwerp, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.