City of Streetsboro
Organization Active NPI Ambulance · Streetsboro, OH
NPI 1376696740 · NPPES record last updated Jan 24, 2012
Key facts
- NPI
- 1376696740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- CITY OF STREETSBORO
- Practice address
- 9184 State Route 43
Streetsboro, OH 44241 - Phone
- (330) 626-4664
- Fax
- (330) 626-5918
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert A Reinholz
- Title
- Chief
- Phone
- (330) 626-4664
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120529000482 | OH | Part B Supplier - Ambulance Service Supplier | 1658534797 | Practice locations: Streetsboro, OH |
National Provider Directory
Locations
9184 State Route 43
Streetsboro, OH 44241
Phone (330) 296-7766
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
9184 State Route 43
Streetsboro, OH 44241
Mailing address
9184 State Route 43
Streetsboro, OH 44241
Phone (330) 626-4664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0245872 | Medicaid | OH |
Other providers in Streetsboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2012. 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.