Smith Ambulance of Stark-Summit Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

021762800 Issued in OH

Legal business name

SMITH AMBULANCE OF STARK-SUMMIT INC

Practice address

214 W 3Rd St
Dover, OH 44622-2965

Phone

(330) 602-5180

Fax

(330) 602-5471

NPI assigned

Oct 9, 2007

Organization subpart

Yes

Parent organization

SMITH MEDICAL TRANSPORTATION SYSTEMS INCAs reported in NPPES

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

Authorized official

Name

Mr. Robert L Smith

Title

President

Phone

(330) 602-4718

Specialties & licenses 5

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1063600799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 ERIE STREET SOUTH",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446465545",
            "telephone_number": "330-837-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W 3RD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222965",
            "telephone_number": "330-602-5180",
            "fax_number": "330-602-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AMBULANCE OF STARK-SUMMIT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMITH MEDICAL TRANSPORTATION SYSTEMS INC",
        "enumeration_date": "2007-10-09",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-602-4718",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "021762800",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "021762803",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "021762802",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "021762801",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "021762806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL WC",
            "identifier": "613142100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000543783",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2785035",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Skirtich
• Michael Lee Slater, RN
• Courtney Dawn Slentz, MSN, FNP-C
• Patricia Virginia Small, LPCC-S
• Shirley Smearman Charette, PA
• Smith Ambulance Service Inc
• Diana Elaine Smith
• Lindsey Angel Smith
• Taylor Bree Anne Smith
• Derrick Smitley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.