Mantua-Shalersville Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MANTUA-SHALERSVILLE FIRE DISTRICT

Practice address

10303 State Route 44
Mantua, OH 44255-9715

Phone

(330) 274-3535

NPI assigned

Mar 9, 2007

Organization subpart

No

Name

Matthew Scott Benner

Title

Fire Chief

Phone

(330) 274-3535

Medicare fee-for-service enrollment

Enrolled in OH

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619009545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10303 STATE ROUTE 44",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10303 STATE ROUTE 44",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559715",
            "telephone_number": "330-274-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTUA-SHALERSVILLE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-274-3535"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483409",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Lynn Lee
• Erin Levicky
• Alicia Lewandowski, ATC
• Ben Thomas Magistro, LMT
• Mantua Pharmacy Inc
• Barbara Maraviglia
• Jessica Martin
• Mitchell Tyler McLean, M.A., CCC-SLP
• Christopher J Meyer
• Alyssa Minick, OTD, OTR/L

• All providers in Mantua, OH
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.