Organization Active NPI

Township of Edinburg Trustees

  • Land Ambulance
  • Rootstown, OH
National Provider Identifier
1033263264
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWNSHIP OF EDINBURG TRUSTEES
Practice address
6727 Tallmadge Rd
Rootstown, OH 44272-9524
Phone
(330) 325-1224
Fax
(330) 325-8144
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2010

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

Authorized official

Name
Mr. Derek Reed, NREMT-P
Title
Captain
Phone
(330) 325-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

6727 Tallmadge Rd
Rootstown, OH 44272-9524

Mailing address

6727 Tallmadge Rd
Rootstown, OH 44272-9524
Phone (330) 325-1224

Other identifiers 1

IdentifierTypeStateIssuer
2315104MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100517000708 OH Part B Supplier - Ambulance Service Supplier 2668500315 Practice locations: Rootstown, OH

National Provider Directory

National Provider Directory

Locations

6727 Tallmadge Rd
Rootstown, OH 44272
Phone (330) 325-1224

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1033263264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6727 TALLMADGE RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729524",
            "telephone_number": "330-325-1224",
            "fax_number": "330-325-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6727 TALLMADGE RD",
            "city": "ROOTSTOWN",
            "state": "OH",
            "postal_code": "442729524",
            "telephone_number": "330-325-1224",
            "fax_number": "330-325-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF EDINBURG TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "330-325-1224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2315104",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rootstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.