Active NPI
City of Riverside
- Ambulance
- Dayton, OH
National Provider Identifier
1922097427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- FCY.020328700-13
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590009041 | Other | OH | RAILROAD |
| 590009041 | Other | OH | RAILROAD MEDICARE |
| 0112569 | Medicaid | OH | |
| ANTHEM | Other | OH | 000000021566 |
Other names 1
- Riverside 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 |
|---|---|---|---|---|
| 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 Riverside
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Dayton, OH
- NPI 1295737658
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.