Port Clinton City

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PORT CLINTON CITY

Practice address

1755 E State St
Port Clinton, OH 43452-1433

Phone

(419) 734-3430

NPI assigned

Feb 11, 2019

Last updated

Jan 2, 2025By 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

Gabe Below

Title

Auditor

Phone

(419) 734-5522

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1144785577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15251",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 E STATE ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521433",
            "telephone_number": "419-734-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORT CLINTON CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "BELOW",
        "authorized_official_first_name": "GABE",
        "authorized_official_title_or_position": "AUDITOR",
        "authorized_official_telephone_number": "419-734-5522"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Petersen
• Derik Phillips
• Joshua Duepree Pitts, MS CDCA
• Elizabeth Ann Pollauf, RPH
• John Joseph Popson III
• Port Clinton City Schools
• Beth Eileen Powers
• Cheryl Pratt
• Panju Prithviraj, M.D.
• Promedica Northwest Ohio Cardiology Consultants, LLC

• Ambulance in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.