Organization Active NPI

Hambden Township

  • Paramedic
  • Chardon, OH
National Provider Identifier
1144385378
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
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

Updated by the provider on Sep 4, 2014

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)CodeLicenseStatePrimary
ParamedicGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 146L00000X Primary
Intermediate Emergency Medical TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 146M00000X
Basic Emergency Medical TechnicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2639756MedicaidOH

Other names 1

  • Hambden Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060217000537 OH Part B Supplier - Ambulance Service Supplier 7315952967 Practice locations: Chardon, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.