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Brookside Volunteer Fire Department

NPI 1497707491ActiveOrganization· Ambulance· Bridgeport, OH

Ambulance in Bridgeport, Ohio, registered in NPPES in May 2006. The authorized official on file is Allen G. Ketzell, Chief. Medicare paid $12,144 for services to 29 patients in 2024.

Overview

NPI1497707491
StatusActive
Entity typeOrganization
NPI issuedMay 17, 2006
Last updated in NPPESFeb 5, 2024
Certified by providerFeb 5, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance Primary341600000X020326200OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulance Service Supplier (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients29
Services billed268 across 3 procedure codes
Paid by Medicare$12,144

Medicare sources and data years

Other Ambulance providers in Bridgeport

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