Active NPI
Coventry Township
- Land Ambulance
- Akron, OH
National Provider Identifier
1215977673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- N/A FOR OHIO
- Legal business name
- COVENTRY TOWNSHIP
- Practice address
- 68 Portage Lakes Dr
Akron, OH 44319-2351 - Phone
- (330) 644-0785
- NPI assigned
- Jun 7, 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
- Mrs. Joanne Michele Murgatroyd
- Title
- Fiscal Officer
- Phone
- (330) 644-0785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | N/A FOR OHIO | Primary |
Addresses
Primary practice location
68 Portage Lakes Dr
Akron, OH 44319-2351
Mailing address
25001 Emery Rd
Cleveland, OH 44128-5621
Phone (216) 831-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0518710 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060913000314 | OH | Part B Supplier - Ambulance Service Supplier | 0941210157 | Practice locations: Coventry Township, OH |
National Provider Directory
National Provider DirectoryLocations
68 Portage Lakes Dr
Coventry Township, OH 44319
Phone (330) 644-0785
25001 Emery Rd
Warrensville Heights, OH 44128
Phone (216) 286-1736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215977673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25001 EMERY RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441285621",
"telephone_number": "216-831-2300",
"fax_number": "216-831-4130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 PORTAGE LAKES DR",
"city": "AKRON",
"state": "OH",
"postal_code": "443192351",
"telephone_number": "330-644-0785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVENTRY TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MURGATROYD",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "MICHELE",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "330-644-0785",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": "N/A FOR OHIO",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0518710",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.