Organization Active NPI

Valley View Town Hall

  • Ambulance
  • Valley View, OH
National Provider Identifier
1780801340
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
VALLEY VIEW TOWN HALL
Practice address
6895 Hathaway Road
Valley View, OH 44125
Phone
(216) 524-6469
Fax
(216) 524-9364
NPI assigned
Apr 18, 2007
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Mr. Thomas Koscielski
Title
Chief
Phone
(216) 524-6469

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

6895 Hathaway Road
Valley View, OH 44125

Mailing address

6848 Hathaway Rd
Valley View, OH 44125-4767
Phone (216) 524-6469

Other identifiers 1

IdentifierTypeStateIssuer
2330534MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000458 OH Part B Supplier - Ambulance Service Supplier 8921260449 Practice locations: Valley View, OH

National Provider Directory

National Provider Directory

Locations

6848 Hathaway Rd
Valley View, OH 44125

6895 Hathaway Rd
Valley View, OH 44125
Phone (216) 524-6469

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1780801340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6848 HATHAWAY RD",
            "city": "VALLEY VIEW",
            "state": "OH",
            "postal_code": "441254767",
            "telephone_number": "216-524-6469",
            "fax_number": "216-524-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6895 HATHAWAY ROAD",
            "city": "VALLEY VIEW",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-524-6469",
            "fax_number": "216-524-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW TOWN HALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "KOSCIELSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "216-524-6469",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2330534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley View, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.