Active NPI
Village of Bethesda
- Ambulance
- Bethesda, OH
National Provider Identifier
1891846937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- VILLAGE OF BETHESDA
- Practice address
- 103 East Spring Street
Bethesda, OH 43719 - Phone
- (740) 484-4573
- Fax
- (740) 484-4575
- NPI assigned
- Jan 16, 2007
- 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
- Ricky W Burkhead
- Title
- Fiscal Officer
- Phone
- (740) 484-1250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
103 East Spring Street
Bethesda, OH 43719
Mailing address
PO Box 591
Bethesda, OH 43719-0591
Phone (740) 484-4573
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020323950 | Other | OH | BOARD OF PHARMACY |
| 2149222 | Medicaid | OH | |
| 590013463 | Other | OH | MEDICARE RR |
| 000000154984 | Other | OH | BCBS |
Other names 1
- VILLAGE OF BETHESDA FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090601000163 | OH | Part B Supplier - Ambulance Service Supplier | 0749339364 | Practice locations: Bethesda, OH |
National Provider Directory
National Provider DirectoryLocations
103 E Spring St
Bethesda, OH 43719
Phone (740) 484-4573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1891846937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 591",
"city": "BETHESDA",
"state": "OH",
"postal_code": "437190591",
"telephone_number": "740-484-4573",
"fax_number": "740-484-4575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 EAST SPRING STREET",
"city": "BETHESDA",
"state": "OH",
"postal_code": "43719",
"telephone_number": "740-484-4573",
"fax_number": "740-484-4575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF BETHESDA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "BURKHEAD",
"authorized_official_first_name": "RICKY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "740-484-1250"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "020323950",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2149222",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "590013463",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000154984",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VILLAGE OF BETHESDA FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bethesda, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.