1497810329 NPI number — CITY OF NORTH CANTON

Table of content: (NPI 1497810329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497810329 NPI number — CITY OF NORTH CANTON

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF NORTH CANTON
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CITY OF NORTH CANTON FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1497810329
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/05/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
145 N MAIN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH CANTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44720-2501
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-499-3466
Provider Business Mailing Address Fax Number:
330-499-2960

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
345 7TH ST NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTH CANTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44720-2000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-497-4899
Provider Business Practice Location Address Fax Number:
330-966-2842
Provider Enumeration Date:
12/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALABACK
Authorized Official First Name:
JINA
Authorized Official Middle Name:
E
Authorized Official Title or Position:
DIRECTOR OF FINANCE
Authorized Official Telephone Number:
330-499-3466

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 156004 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 590013247 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 2438615 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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