Organization Active NPI

Brimfield Township Trustees

  • Ambulance
  • Kent, OH
National Provider Identifier
1477618601
Registry record updated Mar 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
BRIMFIELD TOWNSHIP TRUSTEES
Practice address
1333 Tallmadge Rd
Kent, OH 44240-6662
Phone
(330) 678-9244
Fax
(330) 678-4234
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2013

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

Authorized official

Name
Mr. Robert Keller
Title
Fire Chief
Phone
(330) 678-9244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X OH Primary

Addresses

Primary practice location

1333 Tallmadge Rd
Kent, OH 44240-6662

Mailing address

1333 Tallmadge Rd
Kent, OH 44240-6662
Phone (330) 678-9244

Other identifiers 1

IdentifierTypeStateIssuer
0590981MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000396 OH Part B Supplier - Ambulance Service Supplier 9638276710 Practice locations: Kent, OH

National Provider Directory

National Provider Directory

Locations

1333 Tallmadge Rd
Kent, OH 44240
Phone (330) 678-9244

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1477618601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 TALLMADGE RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406662",
            "telephone_number": "330-678-9244",
            "fax_number": "330-678-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 TALLMADGE RD",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442406662",
            "telephone_number": "330-678-9244",
            "fax_number": "330-678-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIMFIELD TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-678-9244",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590981",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.