Active NPI
Mount Pleasant Volunteer Fire Department Inc of Jefferson County
- Ambulance
- Mt Pleasant, OH
National Provider Identifier
1689670820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- MOUNT PLEASANT VOLUNTEER FIRE DEPARTMENT INC OF JEFFERSON COUNTY
- Practice address
- 198 Oak Dr
Mt Pleasant, OH 43939 - Phone
- (740) 769-7729
- NPI assigned
- Jun 22, 2005
- 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
- Tony Panepucci
- Title
- Fire Chief
- Phone
- (740) 769-7729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
198 Oak Dr
Mt Pleasant, OH 43939
Mailing address
PO Box 6786
Wheeling, WV 26003-0919
Phone (304) 233-9314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2307284 | Medicaid | OH |
Other names 1
- Mount Pleasant Volunteer Fire Dept Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050228000003 | OH | Part B Supplier - Ambulance Service Supplier | 1153374434 | Practice locations: Mt Pleasant, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207008000000",
"number": "1689670820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6786",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030919",
"telephone_number": "304-233-9314",
"fax_number": "304-233-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 OAK DR",
"city": "MT PLEASANT",
"state": "OH",
"postal_code": "43939",
"telephone_number": "740-769-7729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNT PLEASANT VOLUNTEER FIRE DEPARTMENT INC OF JEFFERSON COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-22",
"last_updated": "2008-04-01",
"status": "A",
"authorized_official_last_name": "PANEPUCCI",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "740-769-7729"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2307284",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mount Pleasant Volunteer Fire Dept Inc",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mt Pleasant, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.