Organization Active NPI

Village of Oakwood

  • Ambulance
  • Bedford, OH
National Provider Identifier
1629085295
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
VILLAGE OF OAKWOOD
Practice address
24800 Broadway Ave
Bedford, OH 44146-6305
Phone
(440) 232-6695
Fax
(440) 232-4615
NPI assigned
Aug 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. James R. Schade
Title
Fire Chief
Phone
(440) 232-6695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

24800 Broadway Ave
Bedford, OH 44146-6305

Mailing address

PO Box 2009
Streetsboro, OH 44241-0009
Phone (330) 626-5450

Other identifiers 1

IdentifierTypeStateIssuer
0906274MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000293 OH Part B Supplier - Ambulance Service Supplier 4880699065 Practice locations: Bedford, OH

National Provider Directory

National Provider Directory

Locations

24800 Broadway Ave
Bedford, OH 44146
Phone (440) 232-6695

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629085295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2009",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442410009",
            "telephone_number": "330-626-5450",
            "fax_number": "330-626-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24800 BROADWAY AVE",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441466305",
            "telephone_number": "440-232-6695",
            "fax_number": "440-232-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF OAKWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHADE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "440-232-6695",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0906274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.