Active NPI
Braceville Township
- Ambulance
- Newton Falls, OH
National Provider Identifier
1427110576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- BRACEVILLE TOWNSHIP
- Practice address
- 800 Braceville Robinson Rd SW
Newton Falls, OH 44444-9529 - Phone
- (330) 898-7199
- Fax
- (330) 898-1740
- NPI assigned
- Dec 15, 2006
- 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
- Tom Shay Jr.
- Title
- Fiscal Officer
- Phone
- (330) 872-0085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
800 Braceville Robinson Rd SW
Newton Falls, OH 44444-9529
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0779073 | Medicaid | OH | |
| 000000155955 | Other | ANTHEM | |
| 1544152 | 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 |
|---|---|---|---|---|
| O20040524000665 | OH | Part B Supplier - Ambulance Service Supplier | 0143211532 | Practice locations: Newton Falls, OH |
National Provider Directory
National Provider Directory- Tax ID family
- Braceville Township
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Newton Falls, OH
- NPI 1447409917
Locations
800 Braceville Robinson Rd SW
Newton Falls, OH 44444
Phone (330) 872-0085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1427110576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392907",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519907",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 BRACEVILLE ROBINSON RD SW",
"city": "NEWTON FALLS",
"state": "OH",
"postal_code": "444449529",
"telephone_number": "330-898-7199",
"fax_number": "330-898-1740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRACEVILLE TOWNSHIP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "SHAY",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "330-872-0085",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0779073",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000155955",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1544152",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton Falls, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.