Eastern Knox County Joint Fire District
Organization Active NPI Land Ambulance · Danville, OH
NPI 1689379901 · NPPES record last updated Aug 15, 2023
Key facts
- NPI
- 1689379901
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- EASTERN KNOX COUNTY JOINT FIRE DISTRICT
- Practice address
- 7 West Walnut Street
Danville, OH 43014 - Phone
- (740) 599-7381
- NPI assigned
- Apr 4, 2023
- Organization subpart
- No
Authorized official
- Name
- Alana Gayheart
- Title
- Credentialing
- Phone
- (740) 522-8815
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0892392 | Eastern Knox County Joint Fire District | Certificate of waiver | Sep 28, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230628001655 | OH | Part B Supplier - Ambulance Service Supplier | 4981062650 | Practice locations: Danville, OH; Howard, OH |
National Provider Directory
Locations
23059 Coshocton Rd
Howard, OH 43028
Phone (740) 599-1573
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
7 West Walnut Street
Danville, OH 43014
Mailing address
7 West Walnut Street
Danville, OH 43014
Phone (740) 599-7381
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021328 | Medicaid | OH |
Other providers in Danville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.