Organization Active NPI

Community EMS District

  • Ambulance
  • Garrettsville, OH
National Provider Identifier
1851622575
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
COMMUNITY EMS DISTRICT
Practice address
10804 Forest St
Garrettsville, OH 44231-1008
Phone
(330) 527-4100
Fax
(330) 527-2671
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Authorized official

Name
Mr. William Wilson
Title
Chairman
Phone
(330) 527-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

10804 Forest St
Garrettsville, OH 44231-1008

Mailing address

10804 Forest St
Garrettsville, OH 44231-1008
Phone (330) 527-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100420000102 OH Part B Supplier - Ambulance Service Supplier 8921135286 Practice locations: Garrettsville, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0883603Community EMS District10804 Forest St, Garrettsville, OH 44231Certificate of waiverMar 13, 2028

National Provider Directory

National Provider Directory

Locations

10804 Forest St
Garrettsville, OH 44231
Phone (216) 527-4100

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263945600000",
    "number": "1851622575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10804 FOREST ST",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311008",
            "telephone_number": "330-527-4100",
            "fax_number": "330-527-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10804 FOREST ST",
            "city": "GARRETTSVILLE",
            "state": "OH",
            "postal_code": "442311008",
            "telephone_number": "330-527-4100",
            "fax_number": "330-527-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EMS DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "330-527-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garrettsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.