Chippewa Township Trustees

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

36-6000608 Issued in OH

Legal business name

CHIPPEWA TOWNSHIP TRUSTEES

Practice address

14228 Galehouse Road
Doylestown, OH 44230

Phone

(330) 658-2112

Fax

(330) 658-3372

NPI assigned

Aug 15, 2006

Last updated

Jun 4, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

CHIPPEWA TOWNSHIP TRUSTEESAs reported in NPPES

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

Authorized official

Name

Ms. Darlene L Smith

Title

Administrative Assistant

Phone

(330) 658-2112

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Chippewa Township Trustees

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1306859558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "DOYLESTOWN",
            "state": "OH",
            "postal_code": "442300265",
            "telephone_number": "330-658-2112",
            "fax_number": "330-658-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14228 GALEHOUSE ROAD",
            "city": "DOYLESTOWN",
            "state": "OH",
            "postal_code": "44230",
            "telephone_number": "330-658-2112",
            "fax_number": "330-658-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIPPEWA TOWNSHIP TRUSTEES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIPPEWA TOWNSHIP TRUSTEES",
        "enumeration_date": "2006-08-15",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "330-658-2112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "36-6000608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0818100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Cavalry Transportation LLC
• Robert W Bolois, LICDC-CS
• Cinderella Braley
• Mandy Melissa Carpenter, PT
• Chippewa Local Schools
• Elissar Daher, DMD
• Doylestown Dental Associates
• Doylestown Dental Associates Dr Jacko and Dr Siefker DDS LLC
• Jillian Edmonds, PHARMD
• Foot and Ankle Institute, Inc

• Land Ambulance in Doylestown, OH
• Providers in Doylestown, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.