Monclova Township
Organization Active NPI Ambulance · Monclova, OH
NPI 1467584029 · NPPES record last updated Sep 29, 2023
Key facts
- NPI
- 1467584029
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- MONCLOVA TOWNSHIP
- Practice address
- 4395 Albon Rd
Monclova, OH 43542-9346 - Phone
- (419) 865-9423
- Fax
- (419) 865-8481
- NPI assigned
- Mar 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Matthew Homik
- Title
- Fire Chief
- Phone
- (419) 865-9423
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080523000121 | OH | Part B Supplier - Ambulance Service Supplier | 7012086564 | Practice locations: Monclova, OH |
National Provider Directory
Locations
4395 Albon Rd
Monclova, OH 43542
Phone (410) 865-9423
4335 Albon Rd
Monclova, OH 43542
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | OH | Yes | |
| Land Ambulance | 3416L0300X | 02-0533650 | OH |
Addresses
Primary practice location
4395 Albon Rd
Monclova, OH 43542-9346
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other providers in Monclova, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2023. 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.