Pymatuning Ambulance Service

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PYMATUNING AMBULANCE SERVICE

Practice address

153 Station St.
Andover, OH 44003

Phone

(440) 293-7991

Fax

(440) 293-6125

NPI assigned

Sep 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Miller

Title

Assistant Chief/Treasurer

Phone

(440) 293-7991

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316047186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 STATION ST.",
            "address_2": "P. O. BOX 1509",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "44003",
            "telephone_number": "440-293-7991",
            "fax_number": "440-293-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 STATION ST.",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "44003",
            "telephone_number": "440-293-7991",
            "fax_number": "440-293-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYMATUNING AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "ASSISTANT CHIEF/TREASURER",
        "authorized_official_telephone_number": "440-293-7991",
        "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": "2032811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Edward Paxton, PTA
• Edward J. Pollander, D.D.S.
• Primary Health Network
• Primary Health Network
• Stephanie Profera
• Pymatuning Valley Local School District
• Renal Treatment Centers-Illinois Inc. (Andover Dialysis)
• Samantha Noel Rickert
• Shavonne Nicole Robinson
• Gloria Jean Rowe

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

• 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.