Organization Active NPI

USA Ambulance

  • Ambulance
  • Ashville, OH
National Provider Identifier
1831628700
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
USA AMBULANCE
Practice address
103 Main St W
Ashville, OH 43103-1216
Phone
(937) 403-6658
NPI assigned
Jun 5, 2017
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Mr. Tim Thacker, EMT
Title
Owner
Phone
(937) 403-6658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

103 Main St W
Ashville, OH 43103-1216

Mailing address

12706 N 5TH St
Greenfield, OH 45123-9721
Phone (937) 403-6658

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181107002530 OH Part B Supplier - Ambulance Service Supplier 3375897556 Practice locations: Ashville, OH

National Provider Directory

National Provider Directory

Locations

103 Main St W
Ashville, OH 43103
Phone (937) 403-6658

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1831628700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12706 N 5TH ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451239721",
            "telephone_number": "937-403-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MAIN ST W",
            "city": "ASHVILLE",
            "state": "OH",
            "postal_code": "431031216",
            "telephone_number": "937-403-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USA AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-403-6658",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.