Troy Township Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

TROY TOWNSHIP TRUSTEES

Practice address

311 Krotzer Ave
Luckey, OH 43443

Phone

(419) 833-5422

Fax

(419) 833-4264

NPI assigned

Apr 17, 2007

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Michael David Richardson, EMT-P

Title

EMS Director

Phone

(419) 833-5422

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1306062591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 KROTZER AVE",
            "city": "LUCKEY",
            "state": "OH",
            "postal_code": "434439758",
            "telephone_number": "419-833-5422",
            "fax_number": "419-833-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 KROTZER AVE",
            "city": "LUCKEY",
            "state": "OH",
            "postal_code": "43443",
            "telephone_number": "419-833-5422",
            "fax_number": "419-833-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "419-833-5422",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321833",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000156085",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "791590173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Elizabeth Haas, M.A., CCC-SLP
• Heather A Hall, STNA
• Pamela Lee Hartley, LPTA
• Dolores Jones, RN
• Tami Lynn Jorgenson, RN

• Ambulance in Luckey, OH
• Providers in Luckey, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; 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.