Active NPI
Township of Edinburg Trustees
- Land Ambulance
- Rootstown, OH
National Provider Identifier
1033263264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2315104 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100517000708 | OH | Part B Supplier - Ambulance Service Supplier | 2668500315 | Practice locations: Rootstown, OH |
National Provider Directory
National Provider DirectoryLocations
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.