Brookeside Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

480022 Issued in OH

Legal business name

BROOKESIDE AMBULANCE SERVICE INC

Doing business as

Rumpf Ambulance

Practice address

640 Phillips Ave
Toledo, OH 43612

Phone

(419) 476-7442

Fax

(419) 476-9936

NPI assigned

Aug 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Donald J Kish

Title

Owner

Phone

(419) 476-7442

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rumpf Ambulance 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": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1891795829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 PHILLIPS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43612",
            "telephone_number": "419-476-7442",
            "fax_number": "419-476-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 PHILLIPS AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43612",
            "telephone_number": "419-476-7442",
            "fax_number": "419-476-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKESIDE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "KISH",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-476-7442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "480022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0816399",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rumpf Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• L Robert Bronko, DDS
• Donald Bronson III
• Quincy Brook-Grimes, LSW
• Todd Brookens, DO
• Nicole Brooker
• Brookeside Ambulette, Inc.
• Ernest Brookfield
• Amy Brooks
• Atiauna Brooks, LPN
• Brionne Brooks

• Ambulance in Toledo, OH
• Providers in Toledo, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.