Active NPI
City of Defiance
- Ambulance
- Defiance, OH
National Provider Identifier
1801822309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CITY OF DEFIANCE
- Practice address
- 702 W 3Rd St
Defiance, OH 43512-2108 - Phone
- (419) 782-2771
- NPI assigned
- Jun 25, 2006
- Last updated
- Mar 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn Wittkop
- Title
- Chief
- Phone
- (419) 783-4374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
702 W 3Rd St
Defiance, OH 43512-2108
Mailing address
PO Box 547
Wheeling, IL 60090-0547
Phone (419) 782-2771
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000156054 | Other | OH | ANTHEM |
| 590006859 | Other | OH | RAILROAD MEDICARE |
| 0605134 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130521000140 | OH | Part B Supplier - Ambulance Service Supplier | 8527206135 | Practice locations: Defiance, OH |
National Provider Directory
National Provider DirectoryLocations
702 W 3rd St
Defiance, OH 43512
Phone (419) 782-2771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772668800000",
"number": "1801822309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 547",
"city": "WHEELING",
"state": "IL",
"postal_code": "600900547",
"telephone_number": "419-782-2771",
"fax_number": "336-791-0196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 W 3RD ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435122108",
"telephone_number": "419-782-2771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF DEFIANCE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A",
"authorized_official_last_name": "WITTKOP",
"authorized_official_first_name": "SHAWN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "419-783-4374"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000156054",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590006859",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0605134",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.