Active NPI
Smith Ambulance of North East Oh Inc
- Ambulance
- Wooster, OH
National Provider Identifier
1720009921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SMITH AMBULANCE OF NORTH EAST OH INC
- Practice address
- 1344 West Old Lincoln Way
Wooster, OH 44691 - Phone
- (330) 262-5517
- Fax
- (330) 602-5471
- NPI assigned
- Jul 22, 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
- Robert L Smith
- Title
- President
- Phone
- (300) 602-5180
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
1344 West Old Lincoln Way
Wooster, OH 44691
Mailing address
214 West Third St
Dover, OH 44622-2965
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2341657 | Medicaid | OH | |
| 000000239568 | Other | OH | ANTHEM |
National Provider Directory
National Provider DirectoryLocations
5366 County Road 349
Millersburg, OH 44654
Phone (330) 262-5517
1344 W Old Lincoln Way
Wooster, OH 44691
Phone (330) 262-5517
1660 Enterprise Pkwy
Ste J
Wooster, OH 44691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720009921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "214 WEST THIRD ST",
"city": "DOVER",
"state": "OH",
"postal_code": "446222965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1344 WEST OLD LINCOLN WAY",
"city": "WOOSTER",
"state": "OH",
"postal_code": "44691",
"telephone_number": "330-262-5517",
"fax_number": "330-602-5471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMITH AMBULANCE OF NORTH EAST OH INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "300-602-5180"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2341657",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000239568",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wooster, OH
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.