Active NPI
Village of Manchester
- Land Ambulance
- Manchester, OH
National Provider Identifier
1962642520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF MANCHESTER
- Practice address
- 405 E. 5TH St.
Manchester, OH 45144 - Phone
- (937) 549-3358
- Fax
- (937) 549-2502
- NPI assigned
- Feb 23, 2009
- 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
- Marla Chane Striblen Kirk
- Title
- Captain
- Phone
- (513) 503-9710
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
405 E. 5TH St.
Manchester, OH 45144
Mailing address
PO Box 2122
Riverview, MI 48193-1122
Phone (734) 224-4744
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000622255 | Other | ANTHEM | |
| 2961595 | Medicaid | OH |
Other names 2
- Manchester Fire Department and Rescue Squad
- Manchester Fire Dept. & Rescue Sqd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090512000283 | OH | Part B Supplier - Ambulance Service Supplier | 6204985799 | Practice locations: Manchester, OH |
National Provider Directory
National Provider DirectoryLocations
405 E 5th St
Manchester, OH 45144
Phone (937) 549-3358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1962642520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2122",
"city": "RIVERVIEW",
"state": "MI",
"postal_code": "481931122",
"telephone_number": "734-224-4744",
"fax_number": "734-479-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 E. 5TH ST.",
"city": "MANCHESTER",
"state": "OH",
"postal_code": "45144",
"telephone_number": "937-549-3358",
"fax_number": "937-549-2502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF MANCHESTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-23",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "STRIBLEN KIRK",
"authorized_official_first_name": "MARLA",
"authorized_official_middle_name": "CHANE",
"authorized_official_title_or_position": "CAPTAIN",
"authorized_official_telephone_number": "513-503-9710"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000622255",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2961595",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Manchester Fire Department and Rescue Squad",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Manchester Fire Department and Rescue Squad",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Manchester Fire Dept. & Rescue Sqd",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Manchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.