Active NPI
Pleasant Township Trustees
- Land Ambulance
- Marion, OH
National Provider Identifier
1194151613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 021260050
- Legal business name
- PLEASANT TOWNSHIP TRUSTEES
- Practice address
- 1035 Owens Rd W
Marion, OH 43302-8203 - Phone
- (740) 389-6569
- NPI assigned
- Sep 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clint Canterbury
- Title
- Asst. Chief
- Phone
- (740) 389-6569
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 021260050 | OH | Primary |
Addresses
Primary practice location
1035 Owens Rd W
Marion, OH 43302-8203
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000860427 | Other | ANTHEM | |
| 0097657 | Medicaid | OH | |
| P01321625 | Other | RAILROAD MEDICARE |
Other names 1
- PLEASANT TWP FIRE DEPT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140129000746 | OH | Part B Supplier - Ambulance Service Supplier | 1658500376 | Practice locations: Marion, OH |
National Provider Directory
National Provider DirectoryLocations
1035 Owens Rd W
Marion, OH 43302
Phone (740) 389-6569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1194151613",
"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": "1035 OWENS RD W",
"city": "MARION",
"state": "OH",
"postal_code": "433028203",
"telephone_number": "740-389-6569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLEASANT TOWNSHIP TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-16",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A",
"authorized_official_last_name": "CANTERBURY",
"authorized_official_first_name": "CLINT",
"authorized_official_title_or_position": "ASST. CHIEF",
"authorized_official_telephone_number": "740-389-6569"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "OH",
"license": "021260050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000860427",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0097657",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01321625",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PLEASANT TWP FIRE DEPT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.