Organization Active NPI

City of Riverside

  • Ambulance
  • Dayton, OH
National Provider Identifier
1922097427
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
FCY.020328700-13 Issued in OH
Legal business name
CITY OF RIVERSIDE
Practice address
1791 Harshman Rd
Dayton, OH 45424-5017
Phone
(937) 233-6212
Fax
(937) 252-8052
NPI assigned
Oct 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Mark Miller
Title
Fire Chief
Phone
(937) 233-6265

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X FCY.020328700-13 OH Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

1791 Harshman Rd
Dayton, OH 45424-5017

Mailing address

PO Box 73648
Cleveland, OH 44193-0002
Phone (800) 962-1484

Other identifiers 4

IdentifierTypeStateIssuer
590009041OtherOHRAILROAD
590009041OtherOHRAILROAD MEDICARE
0112569MedicaidOH
ANTHEMOtherOH000000021566

Other names 1

  • Riverside Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000743 OH Part B Supplier - Ambulance Service Supplier 1052209434 Practice locations: Riverside, OH; Dayton, OH

National Provider Directory

National Provider Directory
Tax ID family
City of Riverside2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1081 Spinning Rd
Dayton, OH 45432
Phone (937) 233-1801

1791 Harshman Rd
Dayton, OH 45424
Phone (937) 233-6212

5200 Springfield St
Ste 100
Riverside, OH 45431

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1922097427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73648",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "800-962-1484",
            "fax_number": "513-527-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 HARSHMAN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454245017",
            "telephone_number": "937-233-6212",
            "fax_number": "937-252-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-233-6265"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "FCY.020328700-13",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "590009041",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009041",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112569",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000021566",
            "identifier": "ANTHEM",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverside Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.