Provider Demographics
NPI:1700905841
Name:VILLAGE OF NORTHFIELD
Entity Type:Organization
Organization Name:VILLAGE OF NORTHFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:L
Authorized Official - Last Name:BUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-523-9422
Mailing Address - Street 1:10455 NORTHFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067
Mailing Address - Country:US
Mailing Address - Phone:330-467-7139
Mailing Address - Fax:330-467-7152
Practice Address - Street 1:10455 NORTHFIELD ROAD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067
Practice Address - Country:US
Practice Address - Phone:330-467-7139
Practice Address - Fax:330-467-7152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9315201Medicare ID - Type Unspecified