Organization Active NPI

City of Ravenna

  • Ambulance
  • Ravenna, OH
National Provider Identifier
1386780252
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF RAVENNA
Practice address
214 Park Way
Ravenna, OH 44266-2906
Phone
(330) 297-5738
Fax
(330) 296-1331
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Mr. Kevin T. Poland
Title
Mayor
Phone
(330) 297-5738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

214 Park Way
Ravenna, OH 44266-2906

Mailing address

210 Park Way
Ravenna, OH 44266-2907
Phone (330) 297-5738

Other identifiers 1

IdentifierTypeStateIssuer
0431858MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081107000184 OH Part B Supplier - Ambulance Service Supplier 1951339449 Practice locations: Ravenna, OH

National Provider Directory

National Provider Directory

Locations

214 Park Way
Ravenna, OH 44266
Phone (330) 297-5738

210 Park Way
Ravenna, OH 44266

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1386780252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PARK WAY",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662907",
            "telephone_number": "330-297-5738",
            "fax_number": "330-296-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 PARK WAY",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662906",
            "telephone_number": "330-297-5738",
            "fax_number": "330-296-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RAVENNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "POLAND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "330-297-5738",
        "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": "0431858",
            "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 Jan 25, 2013; 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.