Organization Active NPI

Township of Granger Trustees

  • Ambulance
  • Medina, OH
National Provider Identifier
1437209772
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TOWNSHIP OF GRANGER TRUSTEES
Practice address
3717 Ridge Rd
Medina, OH 44256-7919
Phone
(330) 239-3611
Fax
(330) 239-9921
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Mrs. Barbara L. Beach
Title
Finance Director
Phone
(330) 239-3611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

3717 Ridge Rd
Medina, OH 44256-7919

Mailing address

3717 Ridge Rd
Medina, OH 44256-7919
Phone (330) 239-3611

Other identifiers 1

IdentifierTypeStateIssuer
2144987MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051221000219 OH Part B Supplier - Ambulance Service Supplier 5092737882 Practice locations: Medina, OH

National Provider Directory

National Provider Directory

Locations

3691 Ridge Rd
Medina, OH 44256
Phone (330) 239-2111

3737 Ridge Rd
Medina, OH 44256
Phone (330) 239-3611

3717 Ridge Rd
Medina, OH 44256
Phone (330) 239-3611

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1437209772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 RIDGE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567919",
            "telephone_number": "330-239-3611",
            "fax_number": "330-239-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 RIDGE RD",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567919",
            "telephone_number": "330-239-3611",
            "fax_number": "330-239-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF GRANGER TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "330-239-3611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2144987",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.