Active NPI
Orange Township Fire Department Inc
Doing business as The Orange Township Fire Department, Inc
- Ambulance
- Nankin, OH
National Provider Identifier
1104197722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- ORANGE TOWNSHIP FIRE DEPARTMENT INC
- Doing business as
- The Orange Township Fire Department, Inc
- Practice address
- 800 State Route 302
Nankin, OH 44848 - Phone
- (419) 289-6866
- Fax
- (419) 496-0052
- NPI assigned
- Jan 13, 2012
- Last updated
- Dec 4, 2023
- 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
- Terry A McConnell
- Title
- Chief
- Phone
- (419) 289-6866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | OH | Primary |
Addresses
Primary practice location
800 State Route 302
Nankin, OH 44848
Mailing address
PO Box 123
Nankin, OH 44848-0123
Phone (419) 289-6866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0102446 | Medicaid | OH | |
| 022150850 | Other | OH | BOARD OF PHARMACY |
Other names 1
- THE ORANGE TOWNSHIP FIRE DEPARTMENT, INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130123000491 | OH | Part B Supplier - Ambulance Service Supplier | 6002069150 | Practice locations: Nankin, OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1104197722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 123",
"city": "NANKIN",
"state": "OH",
"postal_code": "448480123",
"telephone_number": "419-289-6866",
"fax_number": "419-496-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 STATE ROUTE 302",
"city": "NANKIN",
"state": "OH",
"postal_code": "44848",
"telephone_number": "419-289-6866",
"fax_number": "419-496-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORANGE TOWNSHIP FIRE DEPARTMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-13",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "MCCONNELL",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "419-289-6866"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102446",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "022150850",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE ORANGE TOWNSHIP FIRE DEPARTMENT, INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.