Active NPI
City of Crestline
Doing business as Crestline Ambulance Service
- Ambulance
- Crestline, OH
National Provider Identifier
1689603953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF CRESTLINE
- Doing business as
- Crestline Ambulance Service
- Practice address
- 100 N Seltzer St
Crestline, OH 44827-1803 - Phone
- (419) 683-3800
- NPI assigned
- Jun 30, 2006
- Last updated
- Oct 2, 2026
- 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
- Elizabeth Miller
- Title
- Captain
- Phone
- (419) 683-3823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
100 N Seltzer St
Crestline, OH 44827-1803
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (419) 683-3800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000224325 | Other | OH | ANTHEM |
| 0015751 | Other | OH | TRICARE |
| 590175303 | Other | OH | RR MEDICARE |
| 0219696 | Medicaid | OH |
Other names 1
- Crestline Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000173 | OH | Part B Supplier - Ambulance Service Supplier | 2961392436 | Practice locations: Crestline, OH |
National Provider Directory
National Provider DirectoryLocations
100 N Seltzer St
Crestline, OH 44827
Phone (419) 683-3800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790899200000",
"number": "1689603953",
"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": "419-683-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N SELTZER ST",
"city": "CRESTLINE",
"state": "OH",
"postal_code": "448271803",
"telephone_number": "419-683-3800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF CRESTLINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "419-683-3823"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000224325",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "0015751",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590175303",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0219696",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Crestline Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Crestline, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.