Active NPI
Jefferson Township Trustees
- Ambulance
- West Jefferson, OH
National Provider Identifier
1407009012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 02-0324500
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000622211 | Other | OH | ANTHEM |
| 2937488 | Medicaid | OH | |
| P00806512 | Other | OH | RAILROAD MEDICARE |
Other names 1
- Jefferson Township Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090330000425 | OH | Part B Supplier - Ambulance Service Supplier | 8325105778 | Practice locations: West Jefferson, OH |
National Provider Directory
National Provider DirectoryLocations
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.