Organization Active NPI

Chester Township Trustees

  • Land Ambulance
  • Wilmington, OH
National Provider Identifier
1003063801
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
021790650 Issued in OH
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

Updated by the provider on May 24, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01176039OtherRAILROAD MEDICARE
000000593596OtherANTHEM
2894088MedicaidOH

Other names 1

  • Chester Township Volunteer Fire Dept. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081209000652 OH Part B Supplier - Ambulance Service Supplier 7012078009 Practice locations: Wilmington, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.