Active NPI
Chester Township Trustees
- Land Ambulance
- Wilmington, OH
National Provider Identifier
1003063801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 021790650
- Legal business name
- CHESTER TOWNSHIP TRUSTEES
- Practice address
- 5580 St RT 380
Wilmington, OH 45177-8566 - Phone
- (937) 283-1616
- NPI assigned
- Aug 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles Whipple
- Title
- Chief
- Phone
- (937) 728-3412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 021790650 | OH | Primary |
Addresses
Primary practice location
5580 St RT 380
Wilmington, OH 45177-8566
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01176039 | Other | RAILROAD MEDICARE | |
| 000000593596 | Other | ANTHEM | |
| 2894088 | Medicaid | OH |
Other names 1
- Chester Township Volunteer Fire Dept.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081209000652 | OH | Part B Supplier - Ambulance Service Supplier | 7012078009 | Practice locations: Wilmington, OH |
National Provider Directory
National Provider DirectoryLocations
51 Mound Rd
Wilmington, OH 45177
Phone (937) 488-2451
5606 State Route 380
Wilmington, OH 45177
5580 State Route 380
Wilmington, OH 45177
Phone (937) 283-1616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716508800000",
"number": "1003063801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392907",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519907",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 ST RT 380",
"city": "WILMINGTON",
"state": "OH",
"postal_code": "451778566",
"telephone_number": "937-283-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESTER TOWNSHIP TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-22",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A",
"authorized_official_last_name": "WHIPPLE",
"authorized_official_first_name": "CHARLES",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "937-728-3412"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": "021790650",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01176039",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000593596",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2894088",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chester Township Volunteer Fire Dept.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.