Concord Township Trustees

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

020746450 Issued in OH

Legal business name

CONCORD TOWNSHIP TRUSTEES

Practice address

27 W. Springfield Street
Frankfort, OH 45628

Phone

(740) 998-5633

NPI assigned

Sep 30, 2013

Organization subpart

No

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

Authorized official

Name

Harry B Junk II

Title

Fiscal Officer

Phone

(740) 656-2437

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• CONCORD TWP EMERGENCY SQUAD Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1104253632",
    "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": "27 W. SPRINGFIELD STREET",
            "city": "FRANKFORT",
            "state": "OH",
            "postal_code": "45628",
            "telephone_number": "740-998-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-30",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "JUNK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "740-656-2437",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020746450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0098072",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000858509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONCORD TWP EMERGENCY SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Bossert
• Anna-Marie Bryan, RN
• Allison Butler, CNP
• Kelli J Caplinger, RN
• Robert Lee Clary, R.N
• Tomiah Conley, LPCC-S NCC LICDC
• Ashley Cook
• Lisa Cordell
• Garrett Michael Cornell, COTA
• Cornerstone Family Healthcare LLC

• All providers in Frankfort, OH
• Land Ambulance in Ohio

• 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.