VILLAGE OF PAYNE NPI 1235297086

NPI Information

NPI: 1235297086
Provider Name: VILLAGE OF PAYNE

Doing Business As: PAYNE EMERGENCY MEDICAL SERVICES

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
201 N LAURA ST
PAYNE, OH
ZIP 45880
Phone: (419) 263-2514
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VILLAGE OF PAYNE is a land transport ambulance in Payne, OH. VILLAGE OF PAYNE NPI is 1235297086. The provider is registered as an organization entity type.
The provider Is Doing Business As Payne Emergency Medical Services.

The provider's business location address is:

201 N LAURA ST
PAYNE, OH
ZIP 45880-089
Phone: (419) 263-2514
Fax: (419) 263-3426

The provider's authorized official is Terry Smith .
The authorized official title is Mayor and has the following contact phone number (419) 263-2514.

The CLIA number assigned to this NPI record is 36D0935611 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 11/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0211185	MEDICAID	OHIO
2	590011799	OTHER	OHIO	RAILROAD MEDICARE
3	200494340A	OTHER	INDIANA	INDIANA HEALTH COVERAGE P
4	9129391	MEDICARE ID-TYPE UNSPECIFIED	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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