Active NPI
Western Reserve Joint Fire District
- Ambulance
- Poland, OH
National Provider Identifier
1831566306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 50-123
- Legal business name
- WESTERN RESERVE JOINT FIRE DISTRICT
- Practice address
- 111 S Main St
Poland, OH 44514-2024 - Phone
- (330) 757-8268
- Fax
- (330) 757-1374
- NPI assigned
- Aug 31, 2015
- 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
- Mr. Janet Parr
- Title
- Executive Assistant
- Phone
- (330) 757-8268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 50-123 | OH | Primary |
Addresses
Primary practice location
111 S Main St
Poland, OH 44514-2024
Mailing address
PO Box 392907
Pittsburgh, PA 15251
Phone (800) 962-1484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191021001832 | OH | Part B Supplier - Ambulance Service Supplier | 0941532147 | Practice locations: Poland, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1013549 | Western Reserve Joint Fire District | Certificate of waiver | Jun 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
111 S Main St
Poland, OH 44514
Phone (330) 757-8268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1831566306",
"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": "15251",
"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": "111 S MAIN ST",
"city": "POLAND",
"state": "OH",
"postal_code": "445142024",
"telephone_number": "330-757-8268",
"fax_number": "330-757-1374"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN RESERVE JOINT FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-31",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "PARR",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "330-757-8268",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "50-123",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poland, 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.
- 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.