Organization Active NPI

North East Ambulance Service, Inc.

  • Land Ambulance
  • Ravenna, OH
National Provider Identifier
1356346647
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
670022 Issued in OH
Legal business name
NORTH EAST AMBULANCE SERVICE, INC.
Practice address
4830 Harding Ave
Ravenna, OH 44266-8813
Phone
(330) 296-4541
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Authorized official

Name
Robert E Turley
Title
President
Phone
(330) 296-4541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 670022 OH Primary

Addresses

Primary practice location

4830 Harding Ave
Ravenna, OH 44266-8813

Mailing address

4830 Harding Ave
Ravenna, OH 44266-8813
Phone (330) 296-4541

Other identifiers 1

IdentifierTypeStateIssuer
0967851MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211001111 OH Part B Supplier - Ambulance Service Supplier 8224934914 Practice locations: Ravenna, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0948332North East Ambulance Service Inc4830 Harding Road, Ravenna, OH 44266Certificate of waiverJul 7, 2026

National Provider Directory

National Provider Directory

Locations

3420 Cavalier Trl
Ste C
Cuyahoga Fls, OH 44224
Phone (330) 945-6327

7100 Whipple Ave NW
Ste D
North Canton, OH 44720

4830 Harding Ave
Ravenna, OH 44266
Phone (330) 296-4541

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260489600000",
    "number": "1356346647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 HARDING AVE",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668813",
            "telephone_number": "330-296-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 HARDING AVE",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668813",
            "telephone_number": "330-296-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-12-11",
        "status": "A",
        "authorized_official_last_name": "TURLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-296-4541"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "670022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0967851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.