Active NPI
City of East Liverpool
- Land Ambulance
- East Liverpool, OH
National Provider Identifier
1851087399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF EAST LIVERPOOL
- Practice address
- 626 Saint Clair Ave
East Liverpool, OH 43920-3077 - Phone
- (330) 385-1117
- NPI assigned
- Apr 17, 2023
- Organization subpart
- Yes
- Parent organization
- CITY OF EAST LIVERPOOL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilyn Bosco
- Title
- City Auditor
- Phone
- (330) 385-4224
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
626 Saint Clair Ave
East Liverpool, OH 43920-3077
Mailing address
626 Saint Clair Ave
East Liverpool, OH 43920-3077
Phone (330) 385-1117
Other names 1
- East Liverpool Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230417001601 | OH | Part B Supplier - Ambulance Service Supplier | 3971978313 | Practice locations: East Liverpool, OH |
National Provider Directory
National Provider Directory- Tax ID family
- East Liverpool Health Department
- Part of
- East Liverpool Health Department
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- East Liverpool, OH
- NPI 1518391127
Locations
126 W 6th St
East Liverpool, OH 43920
Phone (330) 386-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681948800000",
"number": "1851087399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 SAINT CLAIR AVE",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439203077",
"telephone_number": "330-385-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 SAINT CLAIR AVE",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439203077",
"telephone_number": "330-385-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF EAST LIVERPOOL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITY OF EAST LIVERPOOL",
"enumeration_date": "2023-04-17",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A",
"authorized_official_last_name": "BOSCO",
"authorized_official_first_name": "MARILYN",
"authorized_official_title_or_position": "CITY AUDITOR",
"authorized_official_telephone_number": "330-385-4224"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East Liverpool Fire Department",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "East Liverpool Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.