Active NPI
Shawnee TWP BD of Trustees
- Land Ambulance
- Lima, OH
National Provider Identifier
1265691067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- SHAWNEE TWP BD OF TRUSTEES
- Doing business as
- Shawnee Township Fire Department
- Practice address
- 2526 Fort Amanda Rd
Lima, OH 45804-3729 - Phone
- (419) 222-2986
- NPI assigned
- Jun 6, 2008
- 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
- Austin T Miller
- Title
- Fire Chief
- Phone
- (419) 222-2986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
2526 Fort Amanda Rd
Lima, OH 45804-3729
Mailing address
2526 Fort Amanda Rd
Lima, OH 45804-3729
Phone (419) 222-2986
Other names 1
- Shawnee Township Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080923000026 | OH | Part B Supplier - Ambulance Service Supplier | 2668549361 | Practice locations: Lima, OH |
National Provider Directory
National Provider DirectoryLocations
2526 Fort Amanda Rd
Lima, OH 45804
Phone (419) 222-2986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1265691067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2526 FORT AMANDA RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458043729",
"telephone_number": "419-222-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2526 FORT AMANDA RD",
"city": "LIMA",
"state": "OH",
"postal_code": "458043729",
"telephone_number": "419-222-2986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAWNEE TWP BD OF TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-06",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "AUSTIN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "419-222-2986"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Shawnee Township Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.