# CITY OF CANTON

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY OF CANTON FIRE DEPARTMENT
- **Other names:** CITY OF CANTON FIRE DEPARTMENT
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528170990
- **Legal business name:** CITY OF CANTON FIRE DEPARTMENT
- **Authorized official:** PATRICK BODNAR (CAPTAIN/EMS COORDINATOR)
- **Authorized official phone:** (330) 438-4553

## Contact information

- **Practice address:** 110 7TH ST SW, CANTON, OH 44702-2128
- **Practice address phone:** (330) 489-3256
- **Practice address fax:** (330) 471-8831
- **Mailing address:** PO BOX 9151, CANTON, OH 44711-9151
- **Mailing address phone:** (330) 489-3400
- **Mailing address fax:** (330) 471-8831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 020328050 | OH | — |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 03/31/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000155964 | BCBS | OH |
| 05 | — | 0892486 | — | OH |
| 01 | — | 590007156 | RR MEDICARE | OH |
| 01 | — | 802689 | BLACK LUNG | OH |