Healthcare Provider Details

I. General information

NPI: 1700905841
Provider Name (Legal Business Name): VILLAGE OF NORTHFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 07/19/2023
Certification Date: 07/19/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10455 NORTHFIELD ROAD
NORTHFIELD OH
44067
US

IV. Provider business mailing address

10455 NORTHFIELD ROAD
NORTHFIELD OH
44067
US

V. Phone/Fax

Practice location:
  • Phone: 330-467-7139
  • Fax: 330-467-7152
Mailing address:
  • Phone: 330-467-7139
  • Fax: 330-467-7152

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: JASON L BUSS
Title or Position: FIRE CHIEF
Credential:
Phone: 330-523-9422