1235297086 NPI number — VILLAGE OF PAYNE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235297086 NPI number — VILLAGE OF PAYNE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VILLAGE OF PAYNE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PAYNE EMERGENCY MEDICAL SERVICES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1235297086
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/17/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 392907
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15251-9907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-962-1484
Provider Business Mailing Address Fax Number:
513-772-4464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
201 N LAURA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAYNE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45880-9089
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-263-2514
Provider Business Practice Location Address Fax Number:
419-263-3426
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHEINER
Authorized Official First Name:
AUSTIN
Authorized Official Middle Name:
Authorized Official Title or Position:
MAYOR
Authorized Official Telephone Number:
419-263-2514

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0211185 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 200494340A . This is a "INDIANA HEALTH COVERAGE P" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: 590011799 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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