Organization Active NPI

Pleasant Township Trustees

  • Land Ambulance
  • Marion, OH
National Provider Identifier
1194151613
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
021260050 Issued in OH
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

Updated by the provider on May 14, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000860427OtherANTHEM
0097657MedicaidOH
P01321625OtherRAILROAD MEDICARE

Other names 1

  • PLEASANT TWP FIRE DEPT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140129000746 OH Part B Supplier - Ambulance Service Supplier 1658500376 Practice locations: Marion, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.