Organization Active NPI

Newbury Volunteer Fire Department Inc

  • Land Ambulance
  • Newbury, OH
National Provider Identifier
1811395981
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
NEWBURY VOLUNTEER FIRE DEPARTMENT INC
Practice address
11111 Kinsman Rd
Newbury, OH 44065-9601
Phone
(440) 564-2261
Fax
(440) 564-5874
NPI assigned
Dec 5, 2014
Last updated
Dec 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Mr. Douglas Zimperman
Title
Chief
Phone
(440) 346-0580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X OH Primary

Addresses

Primary practice location

11111 Kinsman Rd
Newbury, OH 44065-9601

Mailing address

11111 Kinsman Rd
P O Box 255
Newbury, OH 44065-9601
Phone (440) 564-2261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150521002651 OH Part B Supplier - Ambulance Service Supplier 3870813488 Practice locations: Newbury, 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
36D0692208Newbury Volunteer Fire Department11111 Kinsman Rd, Newbury, OH 44065Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

11111 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-2261

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1811395981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 KINSMAN RD",
            "address_2": "P O BOX 255",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659601",
            "telephone_number": "440-564-2261",
            "fax_number": "440-564-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 KINSMAN RD",
            "city": "NEWBURY",
            "state": "OH",
            "postal_code": "440659601",
            "telephone_number": "440-564-2261",
            "fax_number": "440-564-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBURY VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "ZIMPERMAN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-346-0580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.