Village of Roseville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF ROSEVILLE

Practice address

9 W 1St St
Roseville, OH 43777

Phone

(740) 342-9367

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Edwin Guy

Title

Chief

Phone

(740) 252-8078

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• VILLAGE OF ROSEVILLE VOL FIRE & EMS Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1811026453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15251",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W 1ST ST",
            "city": "ROSEVILLE",
            "state": "OH",
            "postal_code": "43777",
            "telephone_number": "740-342-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ROSEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "740-252-8078"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155272",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739697",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VILLAGE OF ROSEVILLE VOL FIRE & EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "VILLAGE OF ROSEVILLE VOL FIRE & EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tina Jeanntte Rider, LPN
• Robyn Lynn Seenes, LPN
• Jeanne Ann Smith, SLP
• Michelle Smith
• Tiffany Private Duty Nursing
• Jordan Wan, M.T., TAI NA
• Dana White, L.P.N

• Land Ambulance in Roseville, OH
• Providers in Roseville, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.