Active NPI
Hambden Township
- Paramedic
- Chardon, OH
National Provider Identifier
1144385378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- Legal business name
- HAMBDEN TOWNSHIP
- Practice address
- 9867 Old State Rd
Chardon, OH 44024-9530 - Phone
- (440) 285-3329
- Fax
- (440) 285-3799
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Scott Hildenbrand
- Title
- Chief
- Phone
- (440) 285-3329
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | Primary | ||
| Intermediate Emergency Medical Technician | 146M00000X | |||
| Basic Emergency Medical Technician | 146N00000X |
Addresses
Primary practice location
9867 Old State Rd
Chardon, OH 44024-9530
Mailing address
9867 Old State Rd
Chardon, OH 44024-9530
Phone (440) 285-3329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2639756 | Medicaid | OH |
Other names 1
- Hambden Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060217000537 | OH | Part B Supplier - Ambulance Service Supplier | 7315952967 | Practice locations: Chardon, OH |
National Provider Directory
National Provider DirectoryLocations
9867 Old State Rd
Chardon, OH 44024
Phone (440) 285-3329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1409788800000",
"number": "1144385378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9867 OLD STATE RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249530",
"telephone_number": "440-285-3329",
"fax_number": "440-285-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9867 OLD STATE RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249530",
"telephone_number": "440-285-3329",
"fax_number": "440-285-3799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMBDEN TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2014-09-04",
"status": "A",
"authorized_official_last_name": "HILDENBRAND",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "440-285-3329",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": null,
"primary": true
},
{
"code": "146M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Intermediate",
"state": null,
"license": null,
"primary": false
},
{
"code": "146N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2639756",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hambden Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.