Organization Active NPI

Firelands Ambulance Service

  • Land Ambulance
  • New London, OH
National Provider Identifier
1861453599
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FIRELANDS AMBULANCE SERVICE
Practice address
25 James St
New London, OH 44851-1211
Phone
(419) 929-1487
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Lucinda Amburgy
Title
Clerk
Phone
(419) 929-1487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

25 James St
New London, OH 44851-1211

Mailing address

25 James St
New London, OH 44851-1211
Phone (419) 929-1487

Other identifiers 2

IdentifierTypeStateIssuer
000000155453OtherOHANTHEM INSURANCE
0392347MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120621000299 OH Part B Supplier - Ambulance Service Supplier 8527222686 Practice locations: New London, OH

National Provider Directory

National Provider Directory

Locations

25 James St
New London, OH 44851
Phone (419) 929-1487

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1861453599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 JAMES ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511211",
            "telephone_number": "419-929-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 JAMES ST",
            "city": "NEW LONDON",
            "state": "OH",
            "postal_code": "448511211",
            "telephone_number": "419-929-1487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRELANDS AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "AMBURGY",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "419-929-1487"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INSURANCE",
            "identifier": "000000155453",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.