Rushcreek Township Trustees

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RUSHCREEK TOWNSHIP TRUSTEES

Doing business as

Rushcreek Twp FD

Practice address

108 Sandusky
Rushsylvania, OH 43347

Phone

(937) 468-2740

NPI assigned

Jan 16, 2007

Last updated

Oct 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Johnson

Title

Clerk

Phone

(937) 468-2647

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rushcreek Twp FD Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1093866758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HUNTER PL",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433113000",
            "telephone_number": "937-593-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SANDUSKY",
            "city": "RUSHSYLVANIA",
            "state": "OH",
            "postal_code": "43347",
            "telephone_number": "937-468-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHCREEK TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "937-468-2647"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014117",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rushcreek Twp FD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Alan Labelle II
• Beth Mikes
• Destiny Marie Mikes
• Elizabeth Marie Mitchell
• Melissa Ann Queen
• Kathy Stierhoff
• Melissa Zell, LSW

• Land Ambulance in Rushsylvania, OH
• Providers in Rushsylvania, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.