Organization Active NPI

Shawnee TWP BD of Trustees

  • Land Ambulance
  • Lima, OH
National Provider Identifier
1265691067
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080923000026 OH Part B Supplier - Ambulance Service Supplier 2668549361 Practice locations: Lima, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.