Township of Providence Trustees
Organization Active NPI Ambulance · Neapolis, OH
NPI 1124182480 · NPPES record last updated May 17, 2024
Key facts
- NPI
- 1124182480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- TOWNSHIP OF PROVIDENCE TRUSTEES
- Practice address
- 8149 Main Street
Neapolis, OH 43547 - Phone
- (419) 875-6592
- NPI assigned
- Dec 21, 2006
- Organization subpart
- No
Authorized official
- Name
- Julie Ludwig
- Title
- Fiscal Officer
- Phone
- (419) 875-6592
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071127000328 | OH | Part B Supplier - Ambulance Service Supplier | 5890883979 | Practice locations: Neapolis, OH |
National Provider Directory
Locations
13257 Perry Rd
Grand Rapids, OH 43522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
8149 Main Street
Neapolis, OH 43547
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2411296 | Medicaid | OH |
Other providers in Neapolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.