Active NPI
Jefferson Township BD of Trustees
- Ambulance
- Dayton, OH
National Provider Identifier
1275742439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- JEFFERSON TOWNSHIP BD OF TRUSTEES
- Practice address
- One Business Park Drive
Dayton, OH 45427 - Phone
- (937) 262-3580
- Fax
- (937) 262-3599
- NPI assigned
- May 22, 2007
- 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
- Mr. Roy Mann
- Title
- Chief
- Phone
- (937) 262-3580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
One Business Park Drive
Dayton, OH 45427
Mailing address
PO Box 633027
Cincinnati, OH 45263-0031
Phone (937) 262-3580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0858791 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041213000870 | OH | Part B Supplier - Ambulance Service Supplier | 0345207205 | Practice locations: Dayton, OH |
National Provider Directory
National Provider Directory- Tax ID family
- Jefferson Township BD of Trustees
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Jefferson, OH
- NPI 1376677864
-
- Ambulance
- Dayton, OH
- NPI 1992923999
Locations
1 Business Park Dr
Dayton, OH 45417
Phone (937) 262-3580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334793600000",
"number": "1275742439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 633027",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630031",
"telephone_number": "937-262-3580",
"fax_number": "937-262-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE BUSINESS PARK DRIVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "45427",
"telephone_number": "937-262-3580",
"fax_number": "937-262-3599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFERSON TOWNSHIP BD OF TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2012-04-19",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "ROY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "937-262-3580",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0858791",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.