Village of Clinton
Organization Active NPI Ambulance · Clinton, OH
NPI 1285673160 · NPPES record last updated May 7, 2013
Key facts
- NPI
- 1285673160
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 02-0914550 (OH)
- Legal business name
- VILLAGE OF CLINTON
- Practice address
- 7717 Cleveland Massillon Rd
Clinton, OH 44216-8912 - Phone
- (330) 882-4828
- Fax
- (330) 882-5220
- NPI assigned
- Jun 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brent E. Frey
- Title
- Chief
- Phone
- (330) 882-3752
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070103000057 | OH | Part B Supplier - Ambulance Service Supplier | 3870593569 | Practice locations: Clinton, OH |
National Provider Directory
Locations
7717 S Cleveland Massillon Rd
Clinton, OH 44216
Phone (330) 882-4828
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02-0914550 | OH | Yes |
Addresses
Primary practice location
7717 Cleveland Massillon Rd
Clinton, OH 44216-8912
Mailing address
7717 Cleveland Massillon Rd
Clinton, OH 44216-8912
Phone (330) 882-4828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2490791 | Medicaid | OH | |
| 000000212831 | Other | OH | BCBS |
Other names
- Clinton Fire Department
Other providers in Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.