Spencer Community Fire District
Organization Active NPI Ambulance · Spencer, OH
NPI 1982815098 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1982815098
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- SPENCER COMMUNITY FIRE DISTRICT
- Practice address
- 105 East Lorain Street
Spencer, OH 44275 - Phone
- (330) 648-2724
- Fax
- (330) 648-2735
- NPI assigned
- May 24, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary Flegal
- Title
- Board Chairman
- Phone
- (330) 648-2724
Practitioners 1
-
David A Levine, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041001000008 | OH | Part B Supplier - Ambulance Service Supplier | 5890764211 | Practice locations: Spencer, OH |
National Provider Directory
Locations
105 E Lorain St
Spencer, OH 44275
Phone (330) 648-2724
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
105 East Lorain Street
Spencer, OH 44275
Mailing address
PO Box 82
Spencer, OH 44275-0082
Phone (330) 648-2724
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2530381 | Medicaid | OH |
Other providers in Spencer, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.