Active NPI
Township of Mary Ann Trustees
- Land Ambulance
- Newark, OH
National Provider Identifier
1043463623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- N/A
- Legal business name
- TOWNSHIP OF MARY ANN TRUSTEES
- Practice address
- 6099 Fallsburg Rd NE
Newark, OH 43055-9739 - Phone
- (740) 345-3645
- Fax
- (740) 345-0338
- NPI assigned
- Oct 28, 2008
- 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
- Keisha Amspaugh
- Title
- Fire Chief
- Phone
- (740) 345-5972
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | N/A | OH | Primary |
Addresses
Primary practice location
6099 Fallsburg Rd NE
Newark, OH 43055-9739
Mailing address
11950 Wilkins Run Rd NE
Newark, OH 43055-9736
Phone (740) 345-3645
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2937942 | 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 |
|---|---|---|---|---|
| O20090225000107 | OH | Part B Supplier - Ambulance Service Supplier | 2062577158 | Practice locations: Newark, OH |
National Provider Directory
National Provider DirectoryLocations
6099 Fallsburg Rd NE
Newark, OH 43055
Phone (740) 345-3918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692057600000",
"number": "1043463623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11950 WILKINS RUN RD NE",
"city": "NEWARK",
"state": "OH",
"postal_code": "430559736",
"telephone_number": "740-345-3645",
"fax_number": "740-345-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6099 FALLSBURG RD NE",
"city": "NEWARK",
"state": "OH",
"postal_code": "430559739",
"telephone_number": "740-345-3645",
"fax_number": "740-345-0338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF MARY ANN TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2023-08-15",
"certification_date": "2023-08-15",
"status": "A",
"authorized_official_last_name": "AMSPAUGH",
"authorized_official_first_name": "KEISHA",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "740-345-5972"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": "N/A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2937942",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
- Joe George Tomaszewski, MSW, LSW
- Melanie Jewel Topping-Nethers, P.T.A.
- Total Chiropractic Solutions, LLC
- Total Renal Care Inc (Cherry Valley Dialysis)
- Township of Madison Trustees (Madison Township Fire Department)
- Trails Rehab LLC
- Son Tran
- Carrie Ann Traylor, L.P.N
- Juston Don Traylor
- Ronald Scott Treadway
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; 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.