EMERGENCY MEDICAL TRANSPORT INC NPI 1104872142

NPI Information

NPI: 1104872142
Provider Name: EMERGENCY MEDICAL TRANSPORT INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 36D1005693

Address:
7100 WHIPPLE AVE NW STE A
NORTH CANTON, OH
ZIP 44720
Phone: (330) 478-4111
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EMERGENCY MEDICAL TRANSPORT INC is a land transport ambulance in North Canton, OH. EMERGENCY MEDICAL TRANSPORT INC NPI is 1104872142. The provider is registered as an organization entity type.

The provider's business location address is:

7100 WHIPPLE AVE NW STE A
NORTH CANTON, OH
ZIP 44720-167
Phone: (330) 478-4111
Fax: (330) 232-9917

The provider's authorized official is Kenneth J Joseph .
The authorized official title is Chief Paramedic and has the following contact phone number (330) 484-8894.

The CLIA number assigned to this NPI record is 36D1005693 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 11/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport	021103550	OHIO	No
2	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8001026000	MEDICAID	WEST VIRGINIA
2	2000051	MEDICAID	OHIO
3	000000155881	OTHER	OHIO	BCBS
4	00023436	OTHER	OHIO	MT.STATE
5	3481838901	OTHER	OHIO	BWC
6	590010656	OTHER	OHIO	RR MEDICARE
7	800024	OTHER	OHIO	BLACKLUNG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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