Healthcare Provider Details

I. General information

NPI: 1396982542
Provider Name (Legal Business Name): CITY OF MASSILLON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2009
Last Update Date: 05/02/2024
Certification Date: 05/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 ERIE ST S
MASSILLON OH
44646-6737
US

IV. Provider business mailing address

1 JAMES DUNCAN PLZ
MASSILLON OH
44646-6652
US

V. Phone/Fax

Practice location:
  • Phone: 330-833-1053
  • Fax: 330-833-1443
Mailing address:
  • Phone: 330-830-1706
  • Fax: 330-830-1776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW G HECK
Title or Position: FIRE CHIEF
Credential:
Phone: 330-833-1053