Paint Creek Joint EMS Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PAINT CREEK JOINT EMS FIRE DISTRICT

Practice address

640 N Washington St
Greenfield, OH 45123-1051

Phone

(937) 981-3394

NPI assigned

Dec 3, 2009

Organization subpart

No

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

Authorized official

Name

David E Manning

Title

Chief

Phone

(937) 981-3394

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1259798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1740518786",
    "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": "15251",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 N WASHINGTON ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231051",
            "telephone_number": "937-981-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINT CREEK JOINT EMS FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-03",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-981-3394"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00863174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000648637",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3038288",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Creek LLC
• David Lee Olaker Jr., RPH
• Olaker'S Apothecary, LLC.
• Olakers Apothecary LLC
• Brandice Padgett
• Estella Payne, CDCA
• Abby Marie Penwell
• Morgan Perdue
• Juli Anna Polstra, M.A. CCC-SLP
• Trace Aaron Poore

• Land Ambulance in Greenfield, OH
• Providers in Greenfield, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.