Active NPI
Community Ambulance Inc.
- Ambulance
- Garrettsville, OH
National Provider Identifier
1235351636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- COMMUNITY AMBULANCE INC.
- Practice address
- 10804 Forest Street
Garrettsville, OH 44231 - Phone
- (330) 527-4100
- Fax
- (330) 527-2671
- NPI assigned
- May 3, 2007
- 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
- Mr. William Martin Sponaugle Jr., EMT-P
- Title
- Director
- Phone
- (330) 527-4100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
10804 Forest Street
Garrettsville, OH 44231
Mailing address
9330 Market Square Drive
Suite 220
Streetsboro, OH 44241
Phone (330) 626-5450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0262451 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
9330 Market Square Dr
Ste 220
Streetsboro, OH 44241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1235351636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 MARKET SQUARE DRIVE",
"address_2": "SUITE 220",
"city": "STREETSBORO",
"state": "OH",
"postal_code": "44241",
"telephone_number": "330-626-5450",
"fax_number": "330-626-5850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10804 FOREST STREET",
"city": "GARRETTSVILLE",
"state": "OH",
"postal_code": "44231",
"telephone_number": "330-527-4100",
"fax_number": "330-527-2671"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY AMBULANCE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPONAUGLE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "330-527-4100",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "EMT-P"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0262451",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Garrettsville, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.