Organization Active NPI

Maumee City Office of Clerk

Doing business as City of Maumee Ambulance Division

  • Ambulance
  • Maumee, OH
National Provider Identifier
1083755839
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
FCY.020300200-13 Issued in OH
Legal business name
MAUMEE CITY OFFICE OF CLERK
Doing business as
City of Maumee Ambulance Division
Practice address
220 Illinois Ave
Maumee, OH 43537-2161
Phone
(419) 897-7124
NPI assigned
Feb 12, 2007
Reactivated
Dec 24, 2024
Last updated
Dec 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Jennifer E. Harkey
Title
Finance Director
Phone
(224) 315-6904

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU
Ambulance 341600000X FCY.020300200-13 OH Primary

Addresses

Primary practice location

220 Illinois Ave
Maumee, OH 43537-2161

Mailing address

PO Box 636979
Cincinnati, OH 45263-6979
Phone (855) 626-9660

Other identifiers 2

IdentifierTypeStateIssuer
590175396OtherOHRAILROAD MEDICARE
0243847MedicaidOH

Other names 1

  • City of Maumee Ambulance Division Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040702000585 OH Part B Supplier - Ambulance Service Supplier 0547247918 Practice locations: Maumee, OH

National Provider Directory

National Provider Directory
Tax ID family
Maumee City Office of Clerk2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

220 Illinois Ave
Maumee, OH 43537
Phone (419) 897-7057

400 Conant St
Maumee, OH 43537
Phone (419) 897-7127

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1083755839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636979",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636979",
            "telephone_number": "855-626-9660",
            "fax_number": "833-953-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ILLINOIS AVE",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372161",
            "telephone_number": "419-897-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE CITY OFFICE OF CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-12-24",
        "certification_date": "2023-06-20",
        "deactivation_date": "2024-12-10",
        "reactivation_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "HARKEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "224-315-6904"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "FCY.020300200-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590175396",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243847",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Maumee Ambulance Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.