Organization Active NPI

Coventry Township

  • Land Ambulance
  • Akron, OH
National Provider Identifier
1215977673
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0518710MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060913000314 OH Part B Supplier - Ambulance Service Supplier 0941210157 Practice locations: Coventry Township, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.