Active NPI
Township of Granger Trustees
- Ambulance
- Medina, OH
National Provider Identifier
1437209772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2144987 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051221000219 | OH | Part B Supplier - Ambulance Service Supplier | 5092737882 | Practice locations: Medina, OH |
National Provider Directory
National Provider DirectoryLocations
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.