Organization Active NPI

Village of Sugarcreek

Doing business as Sugarcreek Fire & Rescue

  • Ambulance
  • Sugarcreek, OH
National Provider Identifier
1750748448
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
022559400 Issued in OH
Legal business name
VILLAGE OF SUGARCREEK
Doing business as
Sugarcreek Fire & Rescue
Practice address
152 N. Broadway
Sugarcreek, OH 44681
Phone
(330) 852-4316
NPI assigned
Jan 26, 2016
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mrs. Connie S Bowen
Title
Fiscal Officer
Phone
(330) 852-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 022559400 OH Primary

Addresses

Primary practice location

152 N. Broadway
Sugarcreek, OH 44681

Mailing address

410 S Broadway St
Sugarcreek, OH 44681-9382
Phone (330) 852-4112

Other identifiers 2

IdentifierTypeStateIssuer
0167047MedicaidOH
022559400OtherOHBOARD OF PHARMACY

Other names 1

  • SUGARCREEK FIRE & RESCUE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160329002784 OH Part B Supplier - Ambulance Service Supplier 2668779000 Practice locations: Sugarcreek, OH

National Provider Directory

National Provider Directory

Locations

410 S Broadway St
Sugarcreek, OH 44681

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1750748448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S BROADWAY ST",
            "city": "SUGARCREEK",
            "state": "OH",
            "postal_code": "446819382",
            "telephone_number": "330-852-4112",
            "fax_number": "330-852-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N. BROADWAY",
            "city": "SUGARCREEK",
            "state": "OH",
            "postal_code": "44681",
            "telephone_number": "330-852-4316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF SUGARCREEK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "330-852-4112",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "022559400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167047",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "022559400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUGARCREEK FIRE & RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugarcreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.