Perrysburg City Office of Corporation Clerk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PERRYSBURG CITY OFFICE OF CORPORATION CLERK

Practice address

26100 Fort Meigs Rd
Perrysburg, OH 43551-1145

Phone

(419) 872-8025

Fax

(419) 872-8079

NPI assigned

Nov 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Tom Grananta

Title

Assistant Chief

Phone

(419) 872-8026

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• City of Perrysburg Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1992788533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W INDIANA AVE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511525",
            "telephone_number": "419-872-8025",
            "fax_number": "419-872-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26100 FORT MEIGS RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511145",
            "telephone_number": "419-872-8025",
            "fax_number": "419-872-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRYSBURG CITY OFFICE OF CORPORATION CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "GRANANTA",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "419-872-8026",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTHCARE",
            "identifier": "10041",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0307966",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590175518",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "356089400",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Perrysburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison Marie Perrin
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• Perrysburg Commons Senior Housing-Perrysburg Oh LLC
• Perrysburg Counseling Services, LLC
• Perrysburg Exempted Village School District
• Perrysburg Eye Center, Inc.
• Perrysburg Eye Center, Inc.

• Land Ambulance in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.