Village of Crooksville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF CROOKSVILLE

Practice address

531 Walnut St
Crooksville, OH 43731-1165

Phone

(740) 982-6801

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dyrall Newlon

Title

Chief

Phone

(740) 982-6801

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Village of Crooksville EMS Other name

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1952426694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 WALNUT ST",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437311165",
            "telephone_number": "740-982-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF CROOKSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "NEWLON",
        "authorized_official_first_name": "DYRALL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "740-982-6801"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0602913",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155268",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village of Crooksville EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Village of Crooksville EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julie Ann Stalling, LPN
• Tara Dawn Summerville, LPN
• Jessica Amanda Swain, CDCA
• Danielle Lynn Treadway, R.N.
• Shelbi Alyss Van Meter
• Stacy Renee Wintgens, COTA/L
• Brenda Lurean Wolfe, L.P.N.
• Steven Michael Wolfe, R.N.
• Women Thrive Counseling & Consulting LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.