Village of Georgetown

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF GEORGETOWN

Doing business as

Georgetown Volunteer Fire and EMS

Practice address

301 S Main St
Georgetown, OH 45121-1500

Phone

(937) 378-6395

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Arthur D Owens

Title

Village Administrator

Phone

(937) 378-6395

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Georgetown Volunteer Fire and EMS Doing business as

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": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1952728115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451210405",
            "telephone_number": "937-378-3082",
            "fax_number": "937-378-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451211500",
            "telephone_number": "937-378-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF GEORGETOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VILLAGE ADMINISTRATOR",
        "authorized_official_telephone_number": "937-378-6395"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "022461650-13",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01321676",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Volunteer Fire and EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Georgetown Volunteer Fire and EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa J Treadway, LSW
• Sibyl Troxell, LPN
• Mackenzie Lee Tussey
• Judith A. Varnau, D.O.
• Villa Georgetown Rehabilitation and Healthcare Center LLC
• Raymond Paul Virost, D.D.S.
• Abbygayle Bessie Wagers
• Melissa Sueann Wagers
• Shelby Wagner, RN
• Kelli Mae Wallingford, CDCA

• Ambulance in Georgetown, OH
• Providers in Georgetown, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; 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.