Organization Active NPI

Orange Township Fire Department Inc

Doing business as The Orange Township Fire Department, Inc

  • Ambulance
  • Nankin, OH
National Provider Identifier
1104197722
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0102446MedicaidOH
022150850OtherOHBOARD OF PHARMACY

Other names 1

  • THE ORANGE TOWNSHIP FIRE DEPARTMENT, INC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130123000491 OH Part B Supplier - Ambulance Service Supplier 6002069150 Practice locations: Nankin, OH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.