Harrison Township Clerk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS.022065100-13 Issued in OH

Legal business name

HARRISON TOWNSHIP CLERK

Doing business as

Harrison Township Fire Department

Practice address

351 Front St
Philo, OH 43771-0167

Phone

(740) 674-4325

NPI assigned

Sep 17, 2012

Last updated

Jun 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Moore

Title

Fiscal Officer

Phone

(740) 819-2348

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harrison Township Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1194075192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "PHILO",
            "state": "OH",
            "postal_code": "437710215",
            "telephone_number": "740-674-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 FRONT ST",
            "city": "PHILO",
            "state": "OH",
            "postal_code": "437710167",
            "telephone_number": "740-674-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON TOWNSHIP CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "740-819-2348"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "EMS.022065100-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081344",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrison Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Bailey, RN
• Changing Minds LLC
• Caralee Tracie Danison, RN
• Harrison Township EMS
• Traci Dawn Havens, R.T.
• Patricia Ann McConnell, INDEPENDENT PROVIDER
• Marguerite Sabrina Milstead
• Stephanie Michele Parrill, LPN

• Land Ambulance in Philo, OH
• Providers in Philo, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.