Organization Active NPI

Village of Orange

  • Ambulance
  • Orange Village, OH
National Provider Identifier
1285772327
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
VILLAGE OF ORANGE
Practice address
4600 Lander Road
Orange Village, OH 44022
Phone
(440) 498-4402
Fax
(440) 498-4404
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Authorized official

Name
Mr. Roger Delman
Title
Treasurer
Phone
(440) 498-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

4600 Lander Road
Orange Village, OH 44022

Mailing address

4600 Lander Road
Orange Village, OH 44022
Phone (440) 498-4400

Other identifiers 1

IdentifierTypeStateIssuer
2398623MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000167 OH Part B Supplier - Ambulance Service Supplier 2365533767 Practice locations: Orange Village, OH

National Provider Directory

National Provider Directory

Locations

4600 Lander Rd
Chagrin Falls, OH 44022
Phone (440) 498-4400

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1285772327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 LANDER ROAD",
            "city": "ORANGE VILLAGE",
            "state": "OH",
            "postal_code": "44022",
            "telephone_number": "440-498-4400",
            "fax_number": "440-498-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 LANDER ROAD",
            "city": "ORANGE VILLAGE",
            "state": "OH",
            "postal_code": "44022",
            "telephone_number": "440-498-4402",
            "fax_number": "440-498-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF ORANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "DELMAN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "440-498-4400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2398623",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.