Organization Active NPI

St. Albans Township

Doing business as St. Albans Township Fire Department

  • Land Ambulance
  • Alexandria, OH
National Provider Identifier
1376898072
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
ST. ALBANS TOWNSHIP
Doing business as
St. Albans Township Fire Department
Practice address
25 East Main St
Alexandria, OH 43001-0346
Phone
(740) 924-2211
Fax
(740) 924-5454
NPI assigned
Jul 18, 2012
Last updated
Mar 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Michael Theisen
Title
Fire Chief
Phone
(740) 924-2211

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

25 East Main St
Alexandria, OH 43001-0346

Mailing address

PO Box 346
Alexandria, OH 43001-0346
Phone (740) 924-2211

Other identifiers 1

IdentifierTypeStateIssuer
0077249MedicaidOH

Other names 1

  • St. Albans 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
O20130515000678 OH Part B Supplier - Ambulance Service Supplier 6305083114 Practice locations: Alexandria, OH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1376898072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "ALEXANDRIA",
            "state": "OH",
            "postal_code": "430010346",
            "telephone_number": "740-924-2211",
            "fax_number": "740-924-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 EAST MAIN ST",
            "city": "ALEXANDRIA",
            "state": "OH",
            "postal_code": "430010346",
            "telephone_number": "740-924-2211",
            "fax_number": "740-924-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. ALBANS TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "THEISEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "740-924-2211"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077249",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Albans Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.