Organization Active NPI

WVFD Joint Fire District

  • Land Ambulance
  • Windham, OH
National Provider Identifier
1851615413
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
02-0849250-10827 Issued in OH
Legal business name
WVFD JOINT FIRE DISTRICT
Practice address
9601 E Center St
Windham, OH 44288-1010
Phone
(330) 326-2225
Fax
(330) 326-2225
NPI assigned
Mar 24, 2010
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Mr. Clarence E. Simpson Sr., EMT
Title
Fire Chief
Phone
(330) 326-2225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 02-0849250-10827 OH Primary

Addresses

Primary practice location

9601 E Center St
Windham, OH 44288-1010

Mailing address

9601 E Center St
P.O. Box 344
Windham, OH 44288-1010
Phone (330) 326-2225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100519000808 OH Part B Supplier - Ambulance Service Supplier 4082743687 Practice locations: Windham, OH

National Provider Directory

National Provider Directory

Locations

9601 E Center St
Windham, OH 44288
Phone (330) 326-2225

NPI Registry JSON

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

{
    "created_epoch": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1851615413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 E CENTER ST",
            "address_2": "P.O. BOX 344",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442881010",
            "telephone_number": "330-326-2225",
            "fax_number": "330-326-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 E CENTER ST",
            "city": "WINDHAM",
            "state": "OH",
            "postal_code": "442881010",
            "telephone_number": "330-326-2225",
            "fax_number": "330-326-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WVFD JOINT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-326-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "02-0849250-10827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.