Organization Active NPI

Jerusalem Township Office of Clerk

  • Land Ambulance
  • Curtice, OH
National Provider Identifier
1124632914
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
JERUSALEM TOWNSHIP OFFICE OF CLERK
Practice address
9501 Jerusalem Rd
Curtice, OH 43412-9708
Phone
(419) 836-8921
Fax
(419) 836-6508
NPI assigned
Aug 31, 2020
Last updated
Nov 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Joel Moszkowicz
Title
Fiscal Officer
Phone
(419) 836-8921

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

9501 Jerusalem Rd
Curtice, OH 43412-9708

Mailing address

9501 Jerusalem Rd
Curtice, OH 43412-9708
Phone (419) 836-8921

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201026001289 OH Part B Supplier - Ambulance Service Supplier 8224458542 Practice locations: Curtice, OH

National Provider Directory

National Provider Directory

Locations

9501 Jerusalem Rd
Curtice, OH 43412
Phone (419) 392-2764

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1124632914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 JERUSALEM RD",
            "city": "CURTICE",
            "state": "OH",
            "postal_code": "434129708",
            "telephone_number": "419-836-8921",
            "fax_number": "419-836-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 JERUSALEM RD",
            "city": "CURTICE",
            "state": "OH",
            "postal_code": "434129708",
            "telephone_number": "419-836-8921",
            "fax_number": "419-836-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERUSALEM TOWNSHIP OFFICE OF CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-11-12",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "MOSZKOWICZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-836-8921"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Curtice, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.