Organization Active NPI

Navarre-Bethlehem Joint Fire District

Doing business as Erie Valley Fire and Rescue

  • Ambulance
  • Navarre, OH
National Provider Identifier
1801257142
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
022583900 Issued in OH
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 DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0167735MedicaidOH

Other names 1

  • ERIE VALLEY FIRE AND RESCUE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160502002333 OH Part B Supplier - Ambulance Service Supplier 4981903606 Practice locations: Navarre, 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
36D2121420Navarre-Bethlehem Joint Fire District34 Main St S, Navarre, OH 44662Certificate of waiverNov 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.

Verify at the official NPI Registry.