Organization Active NPI

Ohio City Corporation

Doing business as Ohio City EMS

  • Ambulance
  • Ohio City, OH
National Provider Identifier
1750370367
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
FCY.021231000-13 Issued in OH
Legal business name
OHIO CITY CORPORATION
Doing business as
Ohio City EMS
Practice address
103 S. Main St.
Ohio City, OH 45874
Phone
(419) 965-2255
NPI assigned
Oct 17, 2005
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Elisha Sue Mankey
Title
Fiscal Officer
Phone
(419) 965-2255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X FCY.021231000-13 OH Primary
Land Ambulance 3416L0300X NU

Addresses

Primary practice location

103 S. Main St.
Ohio City, OH 45874

Mailing address

PO Box 246
Ohio City, OH 45874-0246
Phone (800) 962-1484

Other identifiers 3

IdentifierTypeStateIssuer
2215409MedicaidOH
590014320OtherOHRAILROAD MEDICARE
000000197512OtherOHANTHEM

Other names 1

  • Ohio City EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070202000476 OH Part B Supplier - Ambulance Service Supplier 7517969686 Practice locations: Ohio City, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1096153Ohio City Fire & EMS103 South Main Street, Ohio City, OH 45874Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1750370367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "OHIO CITY",
            "state": "OH",
            "postal_code": "458740246",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S. MAIN ST.",
            "city": "OHIO CITY",
            "state": "OH",
            "postal_code": "45874",
            "telephone_number": "419-965-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO CITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "MANKEY",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-965-2255"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "FCY.021231000-13",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2215409",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014320",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000197512",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio City EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ohio City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.