Active NPI
City of Martins Ferry
- Land Ambulance
- Martins Ferry, OH
National Provider Identifier
1992706980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 020312400
- Legal business name
- CITY OF MARTINS FERRY
- Practice address
- 640 South Zane Highway
Martins Ferry, OH 43935 - Phone
- (740) 633-0313
- Fax
- (304) 242-7108
- NPI assigned
- Aug 2, 2005
- 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
- David Snyder
- Title
- EMS Coordinator
- Phone
- (740) 633-0313
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020312400 | OH | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X | 020312400 | OH |
Addresses
Primary practice location
640 South Zane Highway
Martins Ferry, OH 43935
Mailing address
PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2375004 | Medicaid | OH | |
| 590015588 | Other | OH | RR MEDICARE |
Other names 1
- MARTINS FERRY VOLUNTEER FIRE DEPT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100326000628 | OH | Part B Supplier - Ambulance Service Supplier | 4082740287 | Practice locations: Martins Ferry, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2006895 | Martins Ferry Volunteer Fire Department | Certificate of waiver | May 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
640 S Zane Hwy
Martins Ferry, OH 43935
Phone (740) 633-0313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395273600000",
"number": "1992706980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6230",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030722",
"telephone_number": "304-242-7106",
"fax_number": "304-242-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 SOUTH ZANE HIGHWAY",
"city": "MARTINS FERRY",
"state": "OH",
"postal_code": "43935",
"telephone_number": "740-633-0313",
"fax_number": "304-242-7108"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MARTINS FERRY",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2014-03-20",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "740-633-0313"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": "020312400",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "OH",
"license": "020312400",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2375004",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590015588",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARTINS FERRY VOLUNTEER FIRE DEPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Martins Ferry, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.