Organization Active NPI

Township of Atwater Township Trustees

  • Ambulance
  • Atwater, OH
National Provider Identifier
1134244262
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TOWNSHIP OF ATWATER TOWNSHIP TRUSTEES
Practice address
6570 Waterloo Rd
Atwater, OH 44201-9508
Phone
(330) 947-2323
Fax
(330) 947-1730
NPI assigned
Mar 20, 2007
Last updated
Jun 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Authorized official

Name
Mr. Melvin L Russell
Title
Fire Chief
Phone
(330) 947-2323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

6570 Waterloo Rd
Atwater, OH 44201-9508

Mailing address

6570 Waterloo Rd
Atwater, OH 44201-9508
Phone (330) 947-2323

Other identifiers 1

IdentifierTypeStateIssuer
0468168MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040922000441 OH Part B Supplier - Ambulance Service Supplier 5496723942 Practice locations: Atwater, OH

National Provider Directory

National Provider Directory

Locations

6570 Waterloo Rd
Atwater, OH 44201
Phone (330) 947-2323

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1134244262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6570 WATERLOO RD",
            "city": "ATWATER",
            "state": "OH",
            "postal_code": "442019508",
            "telephone_number": "330-947-2323",
            "fax_number": "330-947-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6570 WATERLOO RD",
            "city": "ATWATER",
            "state": "OH",
            "postal_code": "442019508",
            "telephone_number": "330-947-2323",
            "fax_number": "330-947-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF ATWATER TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-947-2323",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0468168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.