Active NPI
City of Ravenna
- Ambulance
- Ravenna, OH
National Provider Identifier
1386780252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0431858 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081107000184 | OH | Part B Supplier - Ambulance Service Supplier | 1951339449 | Practice locations: Ravenna, OH |
National Provider Directory
National Provider DirectoryLocations
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.