Organization Active NPI

County of Coshocton

  • Land Ambulance
  • Coshocton, OH
National Provider Identifier
1902064132
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF COSHOCTON
Doing business as
Coshocton County EMS
Practice address
724 Walnut Street
Coshocton, OH 43812-1210
Phone
(740) 622-4294
Fax
(740) 622-4829
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Todd Shroyer
Title
Director
Phone
(740) 622-4294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

724 Walnut Street
Coshocton, OH 43812-1210

Mailing address

PO Box 2071
Mount Vernon, OH 43050-7271
Phone (270) 744-9600

Other identifiers 3

IdentifierTypeStateIssuer
0283107MedicaidOH
P00645668OtherOHRAILROAD MEDICARE
000000585542OtherOHANTHEM

Other names 1

  • Coshocton County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080728000073 OH Part B Supplier - Ambulance Service Supplier 1355414111 Practice locations: Coshocton, OH; Warsaw, OH; West Lafayette, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0963101Coshocton County EMS724 Walnut Street, Coshocton, OH 43812Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory
Tax ID family
Coshocton County EMS3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

513 Chestnut St
Coshocton, OH 43812
Phone (740) 622-4294

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1902064132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2071",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430507271",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 WALNUT STREET",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121210",
            "telephone_number": "740-622-4294",
            "fax_number": "740-622-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF COSHOCTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "SHROYER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-622-4294"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0283107",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00645668",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000585542",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coshocton County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coshocton County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.