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Chardon Township

NPI 1124195839ActiveOrganization· Ambulance· Chardon, OH

Ambulance in Chardon, Ohio, registered in NPPES in November 2006. The authorized official on file is Kelly Sivula, Fiscal Officer. Medicare paid $35,504 for services to 55 patients in 2024.

Overview

NPI1124195839
StatusActive
Entity typeOrganization
NPI issuedNov 29, 2006
Last updated in NPPESSep 8, 2026
Certified by providerSep 8, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance Primary341600000X020379250OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulance Service Supplier (OH)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients55
Services billed729 across 3 procedure codes
Paid by Medicare$35,504

Medicare sources and data years

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