City of Hudson

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

77-E850 Issued in OH

Legal business name

CITY OF HUDSON

Doing business as

Hudson Emergency Medical Service

Practice address

40 South Oviatt Street
Hudson, OH 44236-3002

Phone

(330) 342-1842

Fax

(330) 342-1843

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. R Bruce Graham, NREMT-P

Title

EMS Director

Phone

(330) 342-1842

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hudson Emergency Medical Service Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790997450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH OVIATT STREET",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363002",
            "telephone_number": "330-342-1842",
            "fax_number": "330-342-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SOUTH OVIATT STREET",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442363002",
            "telephone_number": "330-342-1842",
            "fax_number": "330-342-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HUDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "330-342-1842",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "77-E850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517904",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson Emergency Medical Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Cerutti, D.C.
• Johanna Chang, M.D.
• Sarah Chessar-Tirpak, PSY.D.
• Mary Claire Chester
• Chiropractic Wellness Center of Hudson Inc
• William C Clark III, LPC
• Clinical Specialties Inc.
• Clinical Specialties Network Services of Illinois
• Clinical Specialties, Inc. (Clinical Specialties)
• Adrianne Cole, PTA

• Land Ambulance in Hudson, OH
• Providers in Hudson, OH by specialty
• 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.
• 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.