City of Bellefontaine

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF BELLEFONTAINE

Practice address

201 W Sandusky Ave
Bellefontaine, OH 43311-1417

Phone

(937) 599-6168

Fax

(937) 592-3988

NPI assigned

Jul 7, 2005

Organization subpart

No

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

Authorized official

Name

Garon C Carmean

Title

Service Safety Director

Phone

(937) 599-6168

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932107687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SANDUSKY AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111417",
            "telephone_number": "937-599-6168",
            "fax_number": "937-592-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SANDUSKY AVE",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433111417",
            "telephone_number": "937-599-6168",
            "fax_number": "937-592-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BELLEFONTAINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARMEAN",
        "authorized_official_first_name": "GARON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SERVICE SAFETY DIRECTOR",
        "authorized_official_telephone_number": "937-599-6168"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158190",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Champaign Residential Services, Inc.
• Curtis J. Champion
• Sarah Channell, NP-C
• Indrani Shreekanth Chutkay, M.D.
• Vincent Matthew Ciola, LISW
• Xavier Andru Ja'Cei Cloud
• Cole Vision Corporation
• Lynette K Comer, CNP
• Community Health & Wellness Partners of Logan County (Bellefontaine Community Health Center)
• Community Health & Wellness Partners of Logan County (Bellefontaine Community Health Center)

• Land Ambulance in Bellefontaine, OH
• Providers in Bellefontaine, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.