Active NPI
Village of Corning
- Land Ambulance
- Corning, OH
National Provider Identifier
1457565103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- VILLAGE OF CORNING
- Practice address
- 107 E. Main Street
Corning, OH 43730-9548 - Phone
- (740) 347-4511
- NPI assigned
- May 10, 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
- David James
- Title
- EMS Coordinator
- Phone
- (740) 347-4511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
107 E. Main Street
Corning, OH 43730-9548
Mailing address
PO Box 447
Corning, OH 43730-0447
Phone (740) 347-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0496833 | 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 |
|---|---|---|---|---|
| O20120424000328 | OH | Part B Supplier - Ambulance Service Supplier | 7113189945 | Practice locations: Corning, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1457565103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "CORNING",
"state": "OH",
"postal_code": "437300447",
"telephone_number": "740-347-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 E. MAIN STREET",
"city": "CORNING",
"state": "OH",
"postal_code": "437309548",
"telephone_number": "740-347-4511"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE OF CORNING",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2024-02-08",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "EMS COORDINATOR",
"authorized_official_telephone_number": "740-347-4511"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0496833",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corning, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.