Organization Active NPI

Xenia Township Board of Trustees

  • Ambulance
  • Xenia, OH
National Provider Identifier
1376543587
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02-0758950 Issued in OH
Legal business name
XENIA TOWNSHIP BOARD OF TRUSTEES
Practice address
8 Brush Row Rd
Xenia, OH 45385-8599
Phone
(937) 372-7857
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Greg Beegle
Title
EMS Director
Phone
(937) 372-7857

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0758950 OH Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

8 Brush Row Rd
Xenia, OH 45385-8599

Mailing address

PO Box 2064
Mount Vernon, OH 43050-7264
Phone (937) 424-3701

Other identifiers 3

IdentifierTypeStateIssuer
000000350732OtherOHANTHEM
P00309987OtherOHRAILROAD MEDICARE
2531657MedicaidOH

Other names 1

  • Xenia 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
O20041122000855 OH Part B Supplier - Ambulance Service Supplier 9739144429 Practice locations: Xenia, OH

National Provider Directory

National Provider Directory

Locations

893 US Route 68 S
Xenia, OH 45385
Phone (937) 372-9920

8 Brush Row Rd
Xenia, OH 45385
Phone (937) 372-7857

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1376543587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2064",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430507264",
            "telephone_number": "937-424-3701",
            "fax_number": "937-291-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BRUSH ROW RD",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453858599",
            "telephone_number": "937-372-7857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENIA TOWNSHIP BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "BEEGLE",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "937-372-7857"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0758950",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000350732",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00309987",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2531657",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Xenia Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Xenia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.