Organization Active NPI

Berne Township Clerk

  • Land Ambulance
  • Sugar Grove, OH
National Provider Identifier
1104224377
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
020359900 Issued in OH
Legal business name
BERNE TOWNSHIP CLERK
Practice address
5872 Sugar Grove Rd
Sugar Grove, OH 43155
Phone
(740) 746-8244
NPI assigned
Dec 19, 2014
Last updated
May 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Authorized official

Name
Amy Oxley
Title
Fiscal Officer
Phone
(740) 746-8244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 020359900 OH Primary

Addresses

Primary practice location

5872 Sugar Grove Rd
Sugar Grove, OH 43155

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
P01637104OtherOHRAILROAD MEDICARE
000000921164OtherOHANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150302000372 OH Part B Supplier - Ambulance Service Supplier 2264758622 Practice locations: Sugar Grove, 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": "1418947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1104224377",
    "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": "5872 SUGAR GROVE RD",
            "city": "SUGAR GROVE",
            "state": "OH",
            "postal_code": "43155",
            "telephone_number": "740-746-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNE TOWNSHIP CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-19",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "OXLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "740-746-8244"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020359900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01637104",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000921164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Grove, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.