Organization Active NPI

JW Ambulette Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • North Olmsted, OH
National Provider Identifier
1639502024
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
189175 Issued in OH
Legal business name
JW AMBULETTE TRANSPORTATION LLC
Practice address
24730 Fawn Dr
North Olmsted, OH 44070-1285
Phone
(440) 346-6361
NPI assigned
Aug 21, 2013
Last updated
Aug 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Authorized official

Name
James Wilhelm
Title
Owner
Phone
(440) 346-6361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 189175 OH Primary

Addresses

Primary practice location

24730 Fawn Dr
North Olmsted, OH 44070-1285

Mailing address

121 Commerce Park Dr
Westerville, OH 43082-8349
Phone (614) 890-8846

Other identifiers 1

IdentifierTypeStateIssuer
0071567MedicaidOH

National Provider Directory

National Provider Directory

Locations

121 Commerce Park Dr
Westerville, OH 43082

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377043200000",
    "number": "1639502024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828349",
            "telephone_number": "614-890-8846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24730 FAWN DR",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440701285",
            "telephone_number": "440-346-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JW AMBULETTE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A",
        "authorized_official_last_name": "WILHELM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-346-6361"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "189175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071567",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; 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.