Active NPI
Southern Highland Joint Fire District
- Ambulance
- Mowrystown, OH
National Provider Identifier
1811141872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SOUTHERN HIGHLAND JOINT FIRE DISTRICT
- Practice address
- 50 Maple Street
Mowrystown, OH 45155 - Phone
- (937) 402-7355
- NPI assigned
- Nov 4, 2008
- Last updated
- Jun 10, 2013
- 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
- Kevin Mosely
- Title
- Fire Chief
- Phone
- (937) 402-7356
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | NU | Primary |
Addresses
Primary practice location
50 Maple Street
Mowrystown, OH 45155
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (888) 709-4357
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2958116 | Medicaid | OH | |
| 000000598798 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090511000594 | OH | Part B Supplier - Ambulance Service Supplier | 2668520131 | Practice locations: Mowrystown, OH |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Hot Springs, AR
- NPI 1699738393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370822400000",
"number": "1811141872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HEMPSTEAD STATION DR",
"city": "KETTERING",
"state": "OH",
"postal_code": "454295164",
"telephone_number": "888-709-4357",
"fax_number": "937-619-3028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 MAPLE STREET",
"city": "MOWRYSTOWN",
"state": "OH",
"postal_code": "45155",
"telephone_number": "937-402-7355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN HIGHLAND JOINT FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-04",
"last_updated": "2013-06-10",
"status": "A",
"authorized_official_last_name": "MOSELY",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "937-402-7356"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2958116",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000598798",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mowrystown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; 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.