Fort Loramie Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FORT LORAMIE RESCUE SQUAD, INC

Practice address

260 N Main St
Fort Loramie, OH 45845-9363

Phone

(937) 295-2980

NPI assigned

May 22, 2007

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rex Frey

Title

Chief

Phone

(937) 295-2980

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1811106081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 N MAIN ST",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "45845",
            "telephone_number": "937-295-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N MAIN ST",
            "city": "FORT LORAMIE",
            "state": "OH",
            "postal_code": "458459363",
            "telephone_number": "937-295-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LORAMIE RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "FREY",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-295-2980"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0506367",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin J. Detrick, D.C., L.C.P.
• Sheri L Elliott
• Empauer Rehab, LTD.
• Fort Loramie Chiropractic
• Fort Loramie Local Schools
• Ashley Goshorn
• Ryan Louis Grieshop
• Stacy Holland, PT, DPT
• Janelle Holthaus, MOT, OTR/L
• Charles Huddleston, D.C.

• Land Ambulance in Fort Loramie, OH
• Providers in Fort Loramie, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.