Active NPI
Navarre-Bethlehem Joint Fire District
Doing business as Erie Valley Fire and Rescue
- Ambulance
- Navarre, OH
National Provider Identifier
1801257142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 022583900
- Legal business name
- NAVARRE-BETHLEHEM JOINT FIRE DISTRICT
- Doing business as
- Erie Valley Fire and Rescue
- Practice address
- 34 Main St S
Navarre, OH 44662-1141 - Phone
- (330) 879-5840
- Fax
- (330) 879-5815
- NPI assigned
- Mar 15, 2016
- Organization subpart
- Yes
- Parent organization
- NAVARRE-BETHLEHEM JOINT FIRE DISTRICT
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chauntelle S Skirtich
- Title
- Fiscal Officer
- Phone
- (330) 879-5840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 022583900 | OH | Primary |
Addresses
Primary practice location
34 Main St S
Navarre, OH 44662-1141
Mailing address
34 Main St S
Navarre, OH 44662-1141
Phone (330) 879-5840
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167735 | Medicaid | OH |
Other names 1
- ERIE VALLEY FIRE AND RESCUE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160502002333 | OH | Part B Supplier - Ambulance Service Supplier | 4981903606 | Practice locations: Navarre, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2121420 | Navarre-Bethlehem Joint Fire District | Certificate of waiver | Nov 3, 2026 |
National Provider Directory
National Provider Directory- Part of
- Navarre-Bethlehem Joint Fire District
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683158400000",
"number": "1801257142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MAIN ST S",
"city": "NAVARRE",
"state": "OH",
"postal_code": "446621141",
"telephone_number": "330-879-5840",
"fax_number": "330-879-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 MAIN ST S",
"city": "NAVARRE",
"state": "OH",
"postal_code": "446621141",
"telephone_number": "330-879-5840",
"fax_number": "330-879-5815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAVARRE-BETHLEHEM JOINT FIRE DISTRICT",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NAVARRE-BETHLEHEM JOINT FIRE DISTRICT",
"enumeration_date": "2016-03-15",
"last_updated": "2023-05-04",
"certification_date": "2023-05-04",
"status": "A",
"authorized_official_last_name": "SKIRTICH",
"authorized_official_first_name": "CHAUNTELLE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "330-879-5840",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "022583900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167735",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ERIE VALLEY FIRE AND RESCUE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ERIE VALLEY FIRE AND RESCUE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Navarre, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.