Village of McDonald Trumbull Co
Organization Active NPI Land Ambulance · McDonald, OH
NPI 1104985274 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1104985274
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 020661250 (OH)
- Legal business name
- VILLAGE OF MCDONALD TRUMBULL CO
- Practice address
- 451 Ohio Avenue
McDonald, OH 44437-1935 - Phone
- (330) 530-5472
- Fax
- (330) 530-4320
- NPI assigned
- Dec 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Stephanie Smith
- Title
- Fiscal Officer
- Phone
- (330) 530-5472
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120511000511 | OH | Part B Supplier - Ambulance Service Supplier | 2567625494 | Practice locations: MC Donald, OH |
National Provider Directory
Locations
451 Ohio Ave
Mc Donald, OH 44437
Phone (330) 530-5472
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020661250 | OH | Yes |
Addresses
Primary practice location
451 Ohio Avenue
McDonald, OH 44437-1935
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (330) 530-5472
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0833307 | Medicaid | OH | |
| 000000315172 | Other | ANTHEM | |
| 590006762 | Other | RAILROAD MEDICARE |
Other providers in McDonald, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.