Community Angels Ambulance

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

310252 Issued in OH

Legal business name

COMMUNITY ANGELS AMBULANCE

Practice address

11630 Morrocco CT
Cincinnati, OH 45240-2132

Phone

(513) 242-8000

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Terry Johnson Jr.

Title

Owner

Phone

(513) 242-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760512404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 HOLYOKE DR",
            "address_2": "837 HOLYOKE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452401860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 MORROCCO CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452402132",
            "telephone_number": "513-242-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ANGELS AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-242-8000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "310252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Ohio

• 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.