Valley Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VALLEY FIRE DISTRICT

Practice address

1775 Main St
Peninsula, OH 44264-9536

Phone

(330) 873-7016

Fax

(330) 657-2282

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Riedel

Title

Fire Chief

Phone

(330) 873-7016

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699811273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442640212",
            "telephone_number": "330-873-7016",
            "fax_number": "330-657-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 MAIN ST",
            "city": "PENINSULA",
            "state": "OH",
            "postal_code": "442649536",
            "telephone_number": "330-873-7016",
            "fax_number": "330-657-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIEDEL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-873-7016",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0791488",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan L. Smith, LPN
• Karen Kay Socias Speck I, P.T.
• Lauren Strazisar
• Sydney Streby
• Nicholas Matthew Thomas-Bock, D.O.
• Cynthia Voigt
• Wayside Farm Inc. (Wayside Farm Nursing and Rehab Center)
• Woodridge Local School District

• Ambulance in Peninsula, OH
• Providers in Peninsula, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.