Organization Active NPI

Bainbridge Township

  • Ambulance
  • Chagrin Falls, OH
National Provider Identifier
1730309006
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
BAINBRIDGE TOWNSHIP
Practice address
17822 Chillicothe Road
Chagrin Falls, OH 44023
Phone
(440) 543-9871
Fax
(440) 543-4654
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Ms. Susan Angelino
Title
Finance
Phone
(440) 543-9871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

17822 Chillicothe Road
Chagrin Falls, OH 44023

Mailing address

17822 Chillicothe Rd
Chagrin Falls, OH 44023-4855
Phone (440) 543-9871

Other identifiers 1

IdentifierTypeStateIssuer
2495527MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040517000222 OH Part B Supplier - Ambulance Service Supplier 6901896893 Practice locations: Chagrin Falls, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0977118Bainbridge Township Fire Department17822 Chillicothe Road, Chagrin Falls, OH 44023Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

17822 Chillicothe Rd
Chagrin Falls, OH 44023
Phone (440) 543-9871

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1730309006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 CHILLICOTHE RD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440234855",
            "telephone_number": "440-543-9871",
            "fax_number": "440-543-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 CHILLICOTHE ROAD",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "44023",
            "telephone_number": "440-543-9871",
            "fax_number": "440-543-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAINBRIDGE TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "ANGELINO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "FINANCE",
        "authorized_official_telephone_number": "440-543-9871",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2495527",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.