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MONTVILLE TOWNSHIP TRUSTEES - GEAUGA NPI 1457430639


NPI Information

NPI: 1457430639
Provider Name: MONTVILLE TOWNSHIP TRUSTEES - GEAUGA
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 36D0902215

Address:
9755 MADISON RD
MONTVILLE, OH
ZIP 44064
Phone: (440) 968-3784
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MONTVILLE TOWNSHIP TRUSTEES - GEAUGA is an ambulance in Montville, OH. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). MONTVILLE TOWNSHIP TRUSTEES - GEAUGA NPI is 1457430639. The provider is registered as an organization entity type.

The provider's business location address is:

9755 MADISON RD
MONTVILLE, OH
ZIP 44064-731
Phone: (440) 968-3784
Fax: (440) 968-3236

The provider's authorized official is Ronald Jonovich .
The authorized official title is Fire Chief and has the following contact phone number (216) 387-5722.

The CLIA number assigned to this NPI record is 36D0902215 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 5/13/2013.


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
1341600000XAmbulance020517150OHIOYes

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
19307801MEDICARE ID-TYPE UNSPECIFIEDOHIO
29307802MEDICARE PINOHIO
3000000155171OTHEROHIOBLUE CROSS BLUE SHIELD

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.