Active NPI
Firelands Ambulance Service
- Land Ambulance
- New London, OH
National Provider Identifier
1861453599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000155453 | Other | OH | ANTHEM INSURANCE |
| 0392347 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120621000299 | OH | Part B Supplier - Ambulance Service Supplier | 8527222686 | Practice locations: New London, OH |
National Provider Directory
National Provider DirectoryLocations
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.