Active NPI
Elyria Township Trustee
- Ambulance
- Elyria, OH
National Provider Identifier
1013906882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- ELYRIA TOWNSHIP TRUSTEE
- Practice address
- 41416 Griswold Rd
Elyria, OH 44035-2324 - Phone
- (440) 324-2973
- Fax
- (440) 324-3514
- NPI assigned
- Oct 14, 2005
- 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
- Stephanie Dewitt
- Title
- Fiscal Officer
- Phone
- (440) 324-2973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
41416 Griswold Rd
Elyria, OH 44035-2324
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1541275 | Other | OH | UNITED MINE WORKERS |
| 2096495 | Medicaid | OH | |
| 000000156042 | Other | OH | ANTHEM BCBS |
| 590012557 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120521000640 | OH | Part B Supplier - Ambulance Service Supplier | 4981867413 | Practice locations: Elyria, OH |
National Provider Directory
National Provider DirectoryLocations
41416 Griswold Rd
Elyria, OH 44035
Phone (216) 324-2973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1013906882",
"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": "41416 GRISWOLD RD",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440352324",
"telephone_number": "440-324-2973",
"fax_number": "440-324-3514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELYRIA TOWNSHIP TRUSTEE",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-14",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "DEWITT",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "440-324-2973"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED MINE WORKERS",
"identifier": "1541275",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2096495",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000156042",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590012557",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.