Organization Active NPI

Western Reserve Joint Fire District

  • Ambulance
  • Poland, OH
National Provider Identifier
1831566306
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
50-123 Issued in OH
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

Updated by the provider on May 23, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20191021001832 OH Part B Supplier - Ambulance Service Supplier 0941532147 Practice locations: Poland, 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
36D1013549Western Reserve Joint Fire District111 South Main Street, Poland, OH 44514Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.