Active NPI
WVFD Joint Fire District
- Land Ambulance
- Windham, OH
National Provider Identifier
1851615413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 02-0849250-10827
- 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, 2010
- 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. Clarence E. Simpson Sr., EMT
- Title
- Fire Chief
- Phone
- (330) 326-2225
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100519000808 | OH | Part B Supplier - Ambulance Service Supplier | 4082743687 | Practice locations: Windham, OH |
National Provider Directory
National Provider DirectoryLocations
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.