Organization Active NPI

City of North Canton

  • Ambulance
  • North Canton, OH
National Provider Identifier
1497810329
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF NORTH CANTON
Practice address
345 7TH St NE
North Canton, OH 44720-2000
Phone
(330) 497-4899
Fax
(330) 966-2842
NPI assigned
Dec 22, 2006
Organization subpart
Yes
Parent organization
CITY OF NORTH CANTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Jina E Alaback
Title
Director of Finance
Phone
(330) 499-3466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

345 7TH St NE
North Canton, OH 44720-2000

Mailing address

145 N Main St
North Canton, OH 44720-2501
Phone (330) 499-3466

Other identifiers 3

IdentifierTypeStateIssuer
156004OtherOHANTHEM
590013247OtherOHRAILROAD MEDICARE
2438615MedicaidOH

Other names 1

  • City of North Canton Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090401000239 OH Part B Supplier - Ambulance Service Supplier 5991862260 Practice locations: North Canton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0961974City of North Canton EMS345 7TH Street NE, North Canton, OH 44720Certificate of waiverJun 21, 2027

National Provider Directory

National Provider Directory
Part of
City of North Canton

Locations

345 7th St NE
North Canton, OH 44720
Phone (330) 499-3404

300 N Main St
North Canton, OH 44720
Phone (330) 499-3404

145 N Main St
North Canton, OH 44720
Phone (330) 499-1409

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1497810329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202501",
            "telephone_number": "330-499-3466",
            "fax_number": "330-499-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 7TH ST NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202000",
            "telephone_number": "330-497-4899",
            "fax_number": "330-966-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NORTH CANTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF NORTH CANTON",
        "enumeration_date": "2006-12-22",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "ALABACK",
        "authorized_official_first_name": "JINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "330-499-3466"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "156004",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013247",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2438615",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of North Canton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of North Canton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.