Organization Active NPI

Madison TWP

  • Ambulance
  • Mansfield, OH
National Provider Identifier
1104975929
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02-0358700 Issued in OH
Legal business name
MADISON TWP
Doing business as
MADISON TOWNSHIP FIRE DEPARTMENT
Practice address
843 Expressview Dr
Mansfield, OH 44905-1535
Phone
(419) 589-5555
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Deb Scheurer
Title
Admin Assistant
Phone
(419) 589-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0358700 OH Primary

Addresses

Primary practice location

843 Expressview Dr
Mansfield, OH 44905-1535

Mailing address

PO Box 2206
Mansfield, OH 44905-0206
Phone (419) 589-9999

Other identifiers 3

IdentifierTypeStateIssuer
000000155994OtherOHANTHEM BCBS
590012661OtherRAILROAD MEDICARE
2120627MedicaidOH

Other names 1

  • MADISON TOWNSHIP FIRE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070316000005 OH Part B Supplier - Ambulance Service Supplier 4284737099 Practice locations: Mansfield, OH

National Provider Directory

National Provider Directory

Locations

801 Belmont Ave
Mansfield, OH 44906
Phone (419) 589-5555

843 Expressview Dr
Mansfield, OH 44905
Phone (419) 589-5555

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1104975929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2206",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449050206",
            "telephone_number": "419-589-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 EXPRESSVIEW DR",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449051535",
            "telephone_number": "419-589-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON TWP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "SCHEURER",
        "authorized_official_first_name": "DEB",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "419-589-5555"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0358700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000155994",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012661",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120627",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON TOWNSHIP FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; 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.