Active NPI
Village of Mogadore
- Land Ambulance
- Mogadore, OH
National Provider Identifier
1164588927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 020617900
- Legal business name
- VILLAGE OF MOGADORE
- Doing business as
- Mogadore Fire Department
- Practice address
- 135 S Cleveland Ave
Mogadore, OH 44260-1505 - Phone
- (330) 628-4896
- Fax
- (330) 628-5850
- NPI assigned
- Dec 28, 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
- Seth M Dowler
- Title
- Chief
- Phone
- (330) 628-5849
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 020617900 | OH | Primary |
Addresses
Primary practice location
135 S Cleveland Ave
Mogadore, OH 44260-1505
Mailing address
135 S Cleveland Ave
Mogadore, OH 44260-1505
Phone (330) 628-5849
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020617900 | Other | OH | BOARD OF PHARMACY |
Other names 1
- Mogadore 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 |
|---|---|---|---|---|
| O20060206000134 | OH | Part B Supplier - Ambulance Service Supplier | 1951315456 | Practice locations: Mogadore, OH |
National Provider Directory
National Provider DirectoryLocations
135 S Cleveland Ave
Mogadore, OH 44260
Phone (330) 628-4896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1164588927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S CLEVELAND AVE",
"city": "MOGADORE",
"state": "OH",
"postal_code": "442601505",
"telephone_number": "330-628-5849",
"fax_number": "330-628-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S CLEVELAND AVE",
"city": "MOGADORE",
"state": "OH",
"postal_code": "442601505",
"telephone_number": "330-628-4896",
"fax_number": "330-628-5850"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF MOGADORE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "DOWLER",
"authorized_official_first_name": "SETH",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "330-628-5849"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": "020617900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "020617900",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mogadore Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mogadore, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.