Organization Active NPI

City of Ashtabula Ohio

  • Land Ambulance
  • Ashtabula, OH
National Provider Identifier
1497991293
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF ASHTABULA OHIO
Practice address
4326 Main Ave
Ashtabula, OH 44004-6853
Phone
(440) 992-7190
Fax
(440) 992-2691
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Geoff Cannon
Title
Chief
Phone
(440) 992-7190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X OH Primary

Addresses

Primary practice location

4326 Main Ave
Ashtabula, OH 44004-6853

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 2

IdentifierTypeStateIssuer
3021965MedicaidOH
P00775774OtherOHRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091008000110 OH Part B Supplier - Ambulance Service Supplier 9234275009 Practice locations: Ashtabula, OH

National Provider Directory

National Provider Directory

Locations

4326 Main Ave
Ashtabula, OH 44004
Phone (440) 992-7190

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1497991293",
    "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": "4326 MAIN AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046853",
            "telephone_number": "440-992-7190",
            "fax_number": "440-992-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ASHTABULA OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "GEOFF",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-992-7190"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3021965",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00775774",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.

Verify at the official NPI Registry.