Organization Active NPI

Pike Township Trustees

  • Ambulance
  • New Carlisle, OH
National Provider Identifier
1043207822
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PIKE TOWNSHIP TRUSTEES
Practice address
8440 Troy Rd
New Carlisle, OH 45344-9113
Phone
(937) 328-2210
NPI assigned
Oct 5, 2005
Last updated
May 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Authorized official

Name
Jerry Donnelly
Title
Fire Chief
Phone
(937) 408-9714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

8440 Troy Rd
New Carlisle, OH 45344-9113

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 4

IdentifierTypeStateIssuer
000000003304OtherOHANTHEM BCBS
590012543OtherOHRAILROAD MEDICARE
486970001OtherOHCARESOURCE
2096413MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120824000338 OH Part B Supplier - Ambulance Service Supplier 3577710680 Practice locations: New Carlisle, OH

National Provider Directory

National Provider Directory

Locations

8440 Troy Rd
New Carlisle, OH 45344
Phone (937) 328-2210

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1043207822",
    "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": "8440 TROY RD",
            "city": "NEW CARLISLE",
            "state": "OH",
            "postal_code": "453449113",
            "telephone_number": "937-328-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-408-9714"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000003304",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012543",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "486970001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2096413",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carlisle, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.