Organization Active NPI

Jefferson Township Trustees

  • Ambulance
  • West Jefferson, OH
National Provider Identifier
1407009012
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
02-0324500 Issued in OH
Legal business name
JEFFERSON TOWNSHIP TRUSTEES
Practice address
745 W Main St
West Jefferson, OH 43162-1139
Phone
(614) 879-8265
Fax
(614) 879-8265
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Daniel Gatley
Title
Fire Chief
Phone
(614) 879-8265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 02-0324500 OH Primary

Addresses

Primary practice location

745 W Main St
West Jefferson, OH 43162-1139

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (614) 879-8265

Other identifiers 3

IdentifierTypeStateIssuer
000000622211OtherOHANTHEM
2937488MedicaidOH
P00806512OtherOHRAILROAD MEDICARE

Other names 1

  • Jefferson 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
O20090330000425 OH Part B Supplier - Ambulance Service Supplier 8325105778 Practice locations: West Jefferson, OH

National Provider Directory

National Provider Directory

Locations

745 W Main St
West Jefferson, OH 43162
Phone (614) 879-8251

225 Cemetery Rd
West Jefferson, OH 43162

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1407009012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "614-879-8265",
            "fax_number": "614-879-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621139",
            "telephone_number": "614-879-8265",
            "fax_number": "614-879-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "GATLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "614-879-8265"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0324500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000622211",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2937488",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00806512",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Jefferson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.