Village of Gnadenhutten

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

79-201 Issued in OH

Legal business name

VILLAGE OF GNADENHUTTEN

Practice address

131 N Walnut St
Gnadenhutten, OH 44629-0155

Phone

(740) 254-4307

NPI assigned

Mar 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Kim Stull

Title

Clerk

Phone

(740) 254-4307

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1003934498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W 3RD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222965",
            "telephone_number": "330-602-5180",
            "fax_number": "330-602-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N WALNUT ST",
            "city": "GNADENHUTTEN",
            "state": "OH",
            "postal_code": "446290155",
            "telephone_number": "740-254-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF GNADENHUTTEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "740-254-4307",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "79-201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0337862",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9230021",
            "identifier": "RR MEDICARE",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Marie Roth, RN
• Amy Stuck, M.A., CCC-SLP
• Thelma Denise Toole
• Trinity Hospital Twin City
• Upmc Twin City
• Dallas Winrod, ED.S, NCSP

• Land Ambulance in Gnadenhutten, OH
• Providers in Gnadenhutten, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.