Organization Active NPI

First Choice Ambulance LLC

  • Land Ambulance
  • Canal Winchester, OH
National Provider Identifier
1922647494
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
FIRST CHOICE AMBULANCE LLC
Practice address
8891 Basil Western Rd
Canal Winchester, OH 43110-9276
Phone
(740) 603-8385
NPI assigned
Jan 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Authorized official

Name
Andrew Vanbibber, PARAMEDICNPI 1962084244
Title
Owner
Phone
(740) 546-5166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8891 Basil Western Rd
Canal Winchester, OH 43110-9276

Mailing address

8891 Basil Western Rd
Canal Winchester, OH 43110-9276
Phone (740) 546-5166

Other identifiers 2

IdentifierTypeStateIssuer
0451898MedicaidOH
230362OtherOHOHIO EMS LICENSE

Other names 1

  • First Choice Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210707003960 OH Part B Supplier - Ambulance Service Supplier 7719389121 Practice locations: Canal Winchester, OH

National Provider Directory

National Provider Directory

Locations

8891 Basil Western Rd NW
Canal Wnchstr, OH 43110
Phone (740) 603-8385

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1922647494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8891 BASIL WESTERN RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109276",
            "telephone_number": "740-546-5166",
            "fax_number": "614-829-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8891 BASIL WESTERN RD",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109276",
            "telephone_number": "740-603-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-02",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "VANBIBBER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-546-5166",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451898",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO EMS LICENSE",
            "identifier": "230362",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; 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.