Active NPI
Village of Elmwood Place
- Ambulance
- Elmwood Place, OH
National Provider Identifier
1821024498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- VILLAGE OF ELMWOOD PLACE
- Practice address
- 301 Oak St
Elmwood Place, OH 45216-2133 - Phone
- (800) 962-1484
- Fax
- (513) 772-4464
- NPI assigned
- Jun 24, 2006
- Last updated
- May 23, 2024
- 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
- David McCarnan
- Title
- Chief
- Phone
- (513) 242-0790
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
301 Oak St
Elmwood Place, OH 45216-2133
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000021620 | Other | OH | ANTHEM |
| 0747633 | 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 |
|---|---|---|---|---|
| O20120411000131 | OH | Part B Supplier - Ambulance Service Supplier | 7810158367 | Practice locations: Elmwood Place, OH |
National Provider Directory
National Provider DirectoryLocations
300 Maple St
Cincinnati, OH 45216
Phone (513) 242-0790
6118 Vine St
Cincinnati, OH 45216
301 Oak St
Elmwood Place, OH 45216
Phone (513) 242-0563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1821024498",
"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": "152519907",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 OAK ST",
"city": "ELMWOOD PLACE",
"state": "OH",
"postal_code": "452162133",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF ELMWOOD PLACE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "MCCARNAN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "513-242-0790"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000021620",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0747633",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmwood Place, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.