Mecca Township

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MECCA TOWNSHIP

Practice address

6333 State Route 46
Cortland, OH 44410-9609

Phone

(330) 240-3145

NPI assigned

Jan 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Thomas Domes

Title

Chief

Phone

(330) 637-3436

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1003965518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 STATE ROUTE 46",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109609",
            "telephone_number": "330-240-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECCA TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "DOMES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "330-637-3436"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0877510",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC & BS",
            "identifier": "000000189250",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "8180381",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justina Rae Mazarek
• Rebecca Mazzella, RN
• Leeanne McCune, LPN
• Tierra McDonald
• Shannon McMillen
• Medical Solutions of Northeast Ohio,LLC
• Medlab International, Inc
• Breann J Melago, MSN FNP-C
• Metta Pediatric Therapy LLC
• Thomas Paul Montgomery, D.C.

• Ambulance in Cortland, OH
• Providers in Cortland, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.