Homer Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HOMER FIRE DISTRICT

Practice address

1491 Homer Rd NW
Utica, OH 43080-9589

Phone

(740) 892-2505

NPI assigned

Dec 13, 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": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1831967520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430507286",
            "telephone_number": "740-522-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1491 HOMER RD NW",
            "city": "UTICA",
            "state": "OH",
            "postal_code": "430809589",
            "telephone_number": "740-892-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMER FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "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": "0045234",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 2, 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.