Organization Active NPI

Mid-County Ambulance District

  • Land Ambulance
  • Bowling Green, OH
National Provider Identifier
1912442773
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MID-COUNTY AMBULANCE DISTRICT
Practice address
13940 County Home Rd
Bowling Green, OH 43402-8773
Phone
(419) 669-1705
NPI assigned
Jan 3, 2017
Last updated
Oct 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Jason Brooks
Title
EMS Chief
Phone
(419) 352-6730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

13940 County Home Rd
Bowling Green, OH 43402-8773

Mailing address

PO Box 429
Lewisville, NC 27023-0429
Phone (800) 849-5603

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170215002611 OH Part B Supplier - Ambulance Service Supplier 7810270998 Practice locations: Bowling Green, OH

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
36D2167207Mid-County Ambulance District13940 County Home Rd, Bowling Green, OH 43402Certificate of waiverJun 3, 2027

National Provider Directory

National Provider Directory

Locations

13940 County Home Rd
Bowling Green, OH 43402
Phone (419) 352-6730

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1912442773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230429",
            "telephone_number": "800-849-5603",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 COUNTY HOME RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434028773",
            "telephone_number": "419-669-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "419-352-6730"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.