Organization Active NPI

Greenfield Township Trustees

Doing business as Greenfield Township Fire Department

  • Ambulance
  • Carroll, OH
National Provider Identifier
1154599827
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
GREENFIELD TOWNSHIP TRUSTEES
Doing business as
Greenfield Township Fire Department
Practice address
3245 Havensport Rd
Carroll, OH 43112-9448
Phone
(740) 756-4644
Fax
(740) 756-7880
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Bradley Smith II
Title
Fire Chief
Phone
(740) 756-4644

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0427900 OH
Ambulance 341600000X Primary

Addresses

Primary practice location

3245 Havensport Rd
Carroll, OH 43112-9448

Mailing address

PO Box 638321
Cincinnati, OH 45263-8321
Phone (740) 756-4644

Other identifiers 3

IdentifierTypeStateIssuer
000000558337OtherOHANTHEM
P00869012OtherOHRAILROAD MEDICARE
2867250MedicaidOH

Other names 1

  • Greenfield 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
O20080807000005 OH Part B Supplier - Ambulance Service Supplier 9931273059 Practice locations: Carroll, OH

National Provider Directory

National Provider Directory
Tax ID family
Greenfield Township2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

89 E Canal St
Carroll, OH 43112
Phone (740) 756-4644

3245 Havensport Rd
Carroll, OH 43112
Phone (740) 756-4644

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1154599827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638321",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638321",
            "telephone_number": "740-756-4644",
            "fax_number": "740-756-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 HAVENSPORT RD",
            "city": "CARROLL",
            "state": "OH",
            "postal_code": "431129448",
            "telephone_number": "740-756-4644",
            "fax_number": "740-756-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "740-756-4644",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0427900",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000558337",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00869012",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2867250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenfield Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carroll, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.