Village of Brady Lake

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

VILLAGE OF BRADY LAKE

Practice address

2123 Merrill Street
Ravenna, OH 44266

Phone

(330) 673-0365

Fax

(330) 673-5998

NPI assigned

Apr 27, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Ethel Nemeth

Title

Finance

Phone

(330) 673-0365

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053531327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 MERRILL STREET",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44266",
            "telephone_number": "330-673-0365",
            "fax_number": "330-673-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 MERRILL STREET",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "44266",
            "telephone_number": "330-673-0365",
            "fax_number": "330-673-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BRADY LAKE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEMETH",
        "authorized_official_first_name": "ETHEL",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "330-673-0365",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2492977",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.