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CITY OF HUDSON NPI 1790997450


NPI Information

NPI: 1790997450
Provider Name: CITY OF HUDSON

Doing Business As: HUDSON EMERGENCY MEDICAL SERVICE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 36D2033479

Address:
40 SOUTH OVIATT STREET
HUDSON, OH
ZIP 44236
Phone: (330) 342-1842
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CITY OF HUDSON is a land transport ambulance in Hudson, OH. CITY OF HUDSON NPI is 1790997450. The provider is registered as an organization entity type.
The provider Is Doing Business As Hudson Emergency Medical Service.

The provider's business location address is:

40 SOUTH OVIATT STREET
HUDSON, OH
ZIP 44236-002
Phone: (330) 342-1842
Fax: (330) 342-1843

The provider's authorized official is R Bruce Graham .
The authorized official title is Ems Director and has the following contact phone number (330) 342-1842.

The CLIA number assigned to this NPI record is 36D2033479 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand Transport77-E850OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12517904MEDICAIDOHIO

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

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