Harrison Township Clerk
Organization Active NPI Land Ambulance · Philo, OH
NPI 1194075192 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1194075192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- EMS.022065100-13 (OH)
- Legal business name
- HARRISON TOWNSHIP CLERK
- Practice address
- 351 Front St
Philo, OH 43771-0167 - Phone
- (740) 674-4325
- NPI assigned
- Sep 17, 2012
- Organization subpart
- No
Authorized official
- Name
- Theresa Moore
- Title
- Fiscal Officer
- Phone
- (740) 819-2348
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130219000147 | OH | Part B Supplier - Ambulance Service Supplier | 0345495552 | Practice locations: Philo, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | EMS.022065100-13 | OH | Yes |
Addresses
Primary practice location
351 Front St
Philo, OH 43771-0167
Mailing address
PO Box 215
Philo, OH 43771-0215
Phone (740) 674-4325
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0081344 | Medicaid | OH |
Other names
- Harrison Township Fire Department
Other providers in Philo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.