Organization Active NPI

Ambulance Associates of Canton, Inc.

  • Land Ambulance
  • Canton, OH
National Provider Identifier
1588669592
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
760052 Issued in OH
Legal business name
AMBULANCE ASSOCIATES OF CANTON, INC.
Practice address
114 Clarendon Ave NW
Canton, OH 44708-4623
Phone
(330) 452-1113
Fax
(330) 452-5344
NPI assigned
Jun 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Mr. Richard Babb
Title
Chief Financial Officer
Phone
(330) 452-1113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 760052 OH Primary

Addresses

Primary practice location

114 Clarendon Ave NW
Canton, OH 44708-4623

Mailing address

114 Clarendon Ave NW
Canton, OH 44708-4623
Phone (330) 452-1113

Other identifiers 3

IdentifierTypeStateIssuer
0125493MedicaidOH
000000155368OtherOHANTHEM BC/BS
086930000OtherOHFEDERAL BLACK LUNG PROG

National Provider Directory

National Provider Directory

Locations

614 McGregor Ave NW
Canton, OH 44703
Phone (216) 452-1113

114 Clarendon Ave NW
Canton, OH 44708
Phone (330) 452-1113

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1588669592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CLARENDON AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084623",
            "telephone_number": "330-452-1113",
            "fax_number": "330-452-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 CLARENDON AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084623",
            "telephone_number": "330-452-1113",
            "fax_number": "330-452-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE ASSOCIATES OF CANTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-16",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "BABB",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "330-452-1113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "760052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0125493",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000155368",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROG",
            "identifier": "086930000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.