Organization Active NPI

Pickaway Township Trustees

Doing business as Pickaway Township Fire Department

  • Land Ambulance
  • Circleville, OH
National Provider Identifier
1184616021
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
021162750 Issued in OH
Legal business name
PICKAWAY TOWNSHIP TRUSTEES
Doing business as
Pickaway Township Fire Department
Practice address
579 Tarlton Rd
Circleville, OH 43113-9134
Phone
(740) 207-1296
NPI assigned
Aug 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Authorized official

Name
Ian Hardin
Title
EMS LT
Phone
(740) 474-7211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 021162750 OH Primary

Addresses

Primary practice location

579 Tarlton Rd
Circleville, OH 43113-9134

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 2

IdentifierTypeStateIssuer
000000285303OtherOHANTHEM
2385324MedicaidOH

Other names 1

  • Pickaway 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
O20090930000119 OH Part B Supplier - Ambulance Service Supplier 1951447275 Practice locations: Circleville, OH

National Provider Directory

National Provider Directory

Locations

579 Tarlton Rd
Circleville, OH 43113
Phone (614) 668-4348

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1184616021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 TARLTON RD",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431139134",
            "telephone_number": "740-207-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2024-05-24",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "EMS LT",
        "authorized_official_telephone_number": "740-474-7211"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "021162750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000285303",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2385324",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickaway Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.