Central Lorain County Joint Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

021532600 Issued in OH

Legal business name

CENTRAL LORAIN COUNTY JOINT AMBULANCE DISTRICT

Practice address

200 W Lorain St
Oberlin, OH 44074-9628

Phone

(440) 823-2061

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Marilyn Siekeres

Title

Fiscal Officer

Phone

(440) 823-2061

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1730635962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72657",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "440-823-2061",
            "fax_number": "330-874-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W LORAIN ST",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440749628",
            "telephone_number": "440-823-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL LORAIN COUNTY JOINT AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "SIEKERES",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "440-823-2061"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "021532600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000001045423",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Israel James Cajigas, M.D.
• Careatc
• Rebecca Carter, OTR/L
• Timothy Alexander Carver, ATC, AT
• Center for Orthopedics, Inc
• Abbey Michelle Chenevey, OTR/L
• Laurel Christofferson
• Wuu-Shung Chuang, MD
• City of Oberlin
• Dorothy M Clark

• Ambulance in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.

Verify at the official NPI Registry.