Organization Active NPI

Smith Ambulance of North East Oh Inc

  • Ambulance
  • Wooster, OH
National Provider Identifier
1720009921
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2341657MedicaidOH
000000239568OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.