Organization Active NPI

Village of Newburgh Heights

  • Ambulance
  • Newburgh Heights, OH
National Provider Identifier
1780635979
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02-0501000 Issued in OH
Legal business name
VILLAGE OF NEWBURGH HEIGHTS
Doing business as
Village of Newburgh Heights Fire Department
Practice address
3801 Harvard Ave
Newburgh Heights, OH 44105-3207
Phone
(216) 641-2134
Fax
(216) 641-2715
NPI assigned
May 13, 2006
Organization subpart
Yes
Parent organization
VILLAGE OF NEWBURGH HEIGHTSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Brian Higginbotham
Title
Fire Chief
Phone
(216) 641-2134

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0501000 OH Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

3801 Harvard Ave
Newburgh Heights, OH 44105-3207

Mailing address

3801 Harvard Ave
Newburgh Heights, OH 44105-3207
Phone (216) 641-2134

Other identifiers 2

IdentifierTypeStateIssuer
2250157MedicaidOH
590010885OtherOHRR MEDICARE

Other names 1

  • Village of Newburgh Heights Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060327000001 OH Part B Supplier - Ambulance Service Supplier 9436167970 Practice locations: Newburgh Heights, OH

National Provider Directory

National Provider Directory
Part of
Village of Newburgh Heights

Locations

4000 Washington Park Blvd
Newburgh Heights, OH 44105
Phone (216) 271-6055

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1780635979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 HARVARD AVE",
            "city": "NEWBURGH HEIGHTS",
            "state": "OH",
            "postal_code": "441053207",
            "telephone_number": "216-641-2134",
            "fax_number": "216-641-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HARVARD AVE",
            "city": "NEWBURGH HEIGHTS",
            "state": "OH",
            "postal_code": "441053207",
            "telephone_number": "216-641-2134",
            "fax_number": "216-641-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF NEWBURGH HEIGHTS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE OF NEWBURGH HEIGHTS",
        "enumeration_date": "2006-05-13",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "HIGGINBOTHAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "216-641-2134"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0501000",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2250157",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010885",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Newburgh Heights Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newburgh Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.