Provider Demographics
NPI:1497810329
Name:CITY OF NORTH CANTON
Entity Type:Organization
Organization Name:CITY OF NORTH CANTON
Other - Org Name:CITY OF NORTH CANTON FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:JINA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALABACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-499-3466
Mailing Address - Street 1:145 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-2501
Mailing Address - Country:US
Mailing Address - Phone:330-499-3466
Mailing Address - Fax:330-499-2960
Practice Address - Street 1:345 7TH ST NE
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-2000
Practice Address - Country:US
Practice Address - Phone:330-497-4899
Practice Address - Fax:330-966-2842
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF NORTH CANTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-22
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH156004OtherANTHEM
OH590013247OtherRAILROAD MEDICARE
OH2438615Medicaid
OH=========002OtherMEDICAL MUTUAL
OH2438615Medicaid
OH2438615Medicaid