Organization Active NPI

Township of Canton Board of Trustees

Doing business as Canton Township Fire Department

  • Ambulance
  • Canton, OH
National Provider Identifier
1154376556
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
020328100 Issued in OH
Legal business name
TOWNSHIP OF CANTON BOARD OF TRUSTEES
Doing business as
Canton Township Fire Department
Practice address
210 38TH St SE
Canton, OH 44707-1304
Phone
(330) 484-6165
Fax
(330) 484-6135
NPI assigned
May 23, 2006
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Mr. Scott Johnson
Title
Billing Coordinator
Phone
(330) 484-6165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 020328100 OH Primary

Addresses

Primary practice location

210 38TH St SE
Canton, OH 44707-1304

Mailing address

210 38TH St SE
Canton, OH 44707-1304
Phone (330) 484-6165

Other identifiers 5

IdentifierTypeStateIssuer
020328100OtherOHBOARD OF PHARMACY
081119900OtherOHBLACKLUNG
0116270MedicaidOH
000000155965OtherOHBCBS
590009241OtherOHRRMEDICARE

Other names 1

  • Canton 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
O20061114000022 OH Part B Supplier - Ambulance Service Supplier 8123026879 Practice locations: Canton, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0981615Canton Township Fire Department210 38TH Street SE, Canton, OH 44707Certificate of waiverJan 2, 2027

National Provider Directory

National Provider Directory

Locations

1655 Waynesburg Dr SE
Canton, OH 44707
Phone (330) 484-6165

210 38th St SE
Canton, OH 44707
Phone (330) 484-6165

3103 Parkway St NW
Canton, OH 44708
Phone (330) 484-6165

3520 Sherman Church Ave SW
Canton, OH 44706
Phone (330) 484-6165

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1154376556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 38TH ST SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447071304",
            "telephone_number": "330-484-6165",
            "fax_number": "330-484-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 38TH ST SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447071304",
            "telephone_number": "330-484-6165",
            "fax_number": "330-484-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF CANTON BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "330-484-6165",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020328100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020328100",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACKLUNG",
            "identifier": "081119900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116270",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000155965",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "590009241",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canton Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.