Matamoras Emergency Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MATAMORAS EMERGENCY SQUAD

Practice address

800 Grandview Ave
New Matamoras, OH 45767-1111

Phone

(740) 865-2904

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

James F Hupp

Title

Squad Captain

Phone

(740) 865-2904

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1891879573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 114",
            "city": "NEW MATAMORAS",
            "state": "OH",
            "postal_code": "457670114",
            "telephone_number": "740-865-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRANDVIEW AVE",
            "city": "NEW MATAMORAS",
            "state": "OH",
            "postal_code": "457671111",
            "telephone_number": "740-865-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATAMORAS EMERGENCY SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "HUPP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "SQUAD CAPTAIN",
        "authorized_official_telephone_number": "740-865-2904"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0331948",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in New Matamoras, OH
• Providers in New Matamoras, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.