Active NPI
Village of Oakwood
- Ambulance
- Bedford, OH
National Provider Identifier
1629085295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0906274 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060921000293 | OH | Part B Supplier - Ambulance Service Supplier | 4880699065 | Practice locations: Bedford, OH |
National Provider Directory
National Provider DirectoryLocations
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.