Smith Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SMITH AMBULANCE SERVICE INC

Practice address

508 West 11TH St
Dover, OH 44622

Phone

(330) 602-5180

Fax

(330) 602-5471

NPI assigned

Jul 22, 2006

Last updated

Oct 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SMITH MEDICAL TRANSPORTATION INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Hockenberry

Title

Billing Manager

Phone

(330) 602-5180

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Smith Ambulance Service

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1174544373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 WHIPPLE AVE NW",
            "address_2": "STE K",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207167",
            "telephone_number": "330-602-5180",
            "fax_number": "330-484-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 WEST 11TH ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "44622",
            "telephone_number": "330-602-5180",
            "fax_number": "330-602-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH AMBULANCE SERVICE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SMITH MEDICAL TRANSPORTATION INC",
        "enumeration_date": "2006-07-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "HOCKENBERRY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "330-602-5180"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0519808",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155802",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011205",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Lee Slater, RN
• Courtney Dawn Slentz, MSN, FNP-C
• Patricia Virginia Small, LPCC-S
• Shirley Smearman Charette, PA
• Smith Ambulance of Stark-Summit Inc
• Diana Elaine Smith
• Lindsey Angel Smith
• Taylor Bree Anne Smith
• Derrick Smitley
• Michelle Marie Snyder, LPCC

• Ambulance in Dover, OH
• Providers in Dover, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.