Organization Active NPI

City of Wadsworth

  • Ambulance
  • Wadsworth, OH
National Provider Identifier
1356404388
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF WADSWORTH
Practice address
153 North Lyman Street
Wadsworth, OH 44281
Phone
(330) 334-2849
Fax
(330) 334-2848
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Mr. Matthew G Hivcock
Title
Director of Public Safety
Phone
(330) 335-2709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

153 North Lyman Street
Wadsworth, OH 44281

Mailing address

120 Maple Street
Wadsworth, OH 44281
Phone (330) 335-2705

Other identifiers 1

IdentifierTypeStateIssuer
0502165MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081223000013 OH Part B Supplier - Ambulance Service Supplier 7416019963 Practice locations: Wadsworth, OH

National Provider Directory

National Provider Directory

Locations

338 Weatherstone Dr
Wadsworth, OH 44281
Phone (330) 335-2851

120 Maple St
Wadsworth, OH 44281
Phone (330) 335-2851

343 College St
Wadsworth, OH 44281
Phone (330) 335-2851

153 N Lyman St
Wadsworth, OH 44281
Phone (330) 334-2849

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1356404388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAPLE STREET",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-335-2705",
            "fax_number": "330-335-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 NORTH LYMAN STREET",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "44281",
            "telephone_number": "330-334-2849",
            "fax_number": "330-334-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WADSWORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "HIVCOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC SAFETY",
        "authorized_official_telephone_number": "330-335-2709",
        "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": "0502165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.