Organization Active NPI

Community Ambulance Inc.

  • Ambulance
  • Garrettsville, OH
National Provider Identifier
1235351636
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

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
Mr. William Martin Sponaugle Jr., EMT-P
Title
Director
Phone
(330) 527-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0262451MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.