Organization Active NPI

Village of Mogadore

  • Land Ambulance
  • Mogadore, OH
National Provider Identifier
1164588927
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
020617900 Issued in OH
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

Updated by the provider on Aug 6, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020617900OtherOHBOARD OF PHARMACY

Other names 1

  • Mogadore Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060206000134 OH Part B Supplier - Ambulance Service Supplier 1951315456 Practice locations: Mogadore, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.