County Line Joint Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY LINE JOINT FIRE DISTRICT

Practice address

39 Spring St
Utica, OH 43080-9010

Phone

(740) 892-2369

NPI assigned

Oct 10, 2023

Organization subpart

No

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

Authorized official

Name

Alana Gayheart

Title

Credentialling

Phone

(740) 522-8815

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1821879461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2069",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430507269",
            "telephone_number": "740-522-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SPRING ST",
            "city": "UTICA",
            "state": "OH",
            "postal_code": "430809010",
            "telephone_number": "740-892-2369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY LINE JOINT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "GAYHEART",
        "authorized_official_first_name": "ALANA",
        "authorized_official_title_or_position": "CREDENTIALLING",
        "authorized_official_telephone_number": "740-522-8815"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0039816",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Michelle Baker
• Benzer Oh 5 LLC
• Julie A Broseus
• Joshua Mark Bryant, R.N.
• Central Ohio Medical Transport, Co.
• Debra F Egan
• Amanda Marie Eisenhardt
• Katrina Ann Fogress, RN
• Vanessa Frazee, LPN
• Caitlyn Mary Garner, MS, RDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.