Sycamore Village Office of Clerk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SYCAMORE VILLAGE OFFICE OF CLERK

Doing business as

Sycamore Ambulance Service

Practice address

106 E Seventh St
Sycamore, OH 44849

Phone

(419) 927-2900

Fax

(419) 927-2988

NPI assigned

Sep 23, 2005

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bryan Clouse

Title

Chief

Phone

(419) 397-2063

Specialties & licenses 2

Addresses

Other names 1

• Sycamore Ambulance Service Doing business as

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1073509121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "address_2": "106 E SEVENTH STREET",
            "city": "SYCAMORE",
            "state": "OH",
            "postal_code": "448820077",
            "telephone_number": "419-927-2900",
            "fax_number": "419-927-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E SEVENTH ST",
            "city": "SYCAMORE",
            "state": "OH",
            "postal_code": "44849",
            "telephone_number": "419-927-2900",
            "fax_number": "419-927-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE VILLAGE OFFICE OF CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "419-397-2063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020299904",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sycamore Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bridgett Rivera, LPCC-S, LICDC
• Robert W Secor, MD
• Lori Swecker
• Seth Swecker
• Sycamore Medical Associates, Inc.
• Wyandot Memorial Hospital
• Wyandot Memorial Hospital (Wyandot Medical Providers at Sycamore)

• Land Ambulance in Sycamore, OH
• Providers in Sycamore, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.