Northwest Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

NORTHWEST AMBULANCE DISTRICT

Practice address

1480 South Broadway
Geneva, OH 44041

Phone

(440) 466-4900

Fax

(440) 466-9469

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vincent T. Gildone, EMTP

Title

Administrator

Phone

(440) 466-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1265501019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 SOUTH BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "44041",
            "telephone_number": "440-466-4900",
            "fax_number": "440-466-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 SOUTH BROADWAY",
            "city": "GENEVA",
            "state": "OH",
            "postal_code": "44041",
            "telephone_number": "440-466-4900",
            "fax_number": "440-466-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "GILDONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-466-4900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0286140",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen M Mulhall, LPN
• Jean F Nagy, CNP
• Jennifer Elaine Nelson
• Noble Home Care Solutions, LLC
• Embre Diana Norman
• Ohio CVS Stores LLC
• Onyx Health Group LLC
• Russell Benjamin Cooper Owens, D.D.S.
• Michelle Pechinko
• Seth Montgomery Pezar, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.