Township of Liberty Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020914500 Issued in OH

Legal business name

TOWNSHIP OF LIBERTY TRUSTEES

Doing business as

Liberty Washington Township Fire

Practice address

T-315 Road 8
Liberty Center, OH 43532-9381

Phone

(419) 533-1038

NPI assigned

Jun 14, 2006

Last updated

Apr 10, 2024By 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

Jacob S Clapp

Title

Fiscal Officer

Phone

(567) 341-0368

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LIBERTY WASHINGTON TOWNSHIP FIRE 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": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1104869114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "LIBERTY CENTER",
            "state": "OH",
            "postal_code": "435320172",
            "telephone_number": "567-341-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T-315 ROAD 8",
            "city": "LIBERTY CENTER",
            "state": "OH",
            "postal_code": "435329381",
            "telephone_number": "419-533-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF LIBERTY TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CLAPP",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "567-341-0368"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020914500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020914500",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY WASHINGTON TOWNSHIP FIRE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haden Sullivan
• Summit Community Dental
• Penny Taylor, RN
• Qualita Taylor
• Kelly K Thompson
• Stephanie Tyson, M.A., CCC-SLP
• Deanah Viau
• Renee C Yunker

• Ambulance in Liberty Center, OH
• Providers in Liberty Center, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.