Richland Township BD of Trustees
Organization Active NPI Land Ambulance · Beaverdam, OH
NPI 1487718896 · NPPES record last updated Nov 6, 2013
Key facts
- NPI
- 1487718896
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- RICHLAND TOWNSHIP BD OF TRUSTEES
- Practice address
- 201 W Main St
Beaverdam, OH 45808-9702 - Phone
- (419) 358-8360
- Fax
- (419) 358-4897
- NPI assigned
- Dec 20, 2006
- Organization subpart
- No
Authorized official
- Name
- James Weaver
- Title
- Clerk
- Phone
- (419) 358-8360
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120220000368 | OH | Part B Supplier - Ambulance Service Supplier | 6103084397 | Practice locations: Beaverdam, OH |
National Provider Directory
Locations
201 W Main St
Beaverdam, OH 45808
Phone (419) 358-8360
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
201 W Main St
Beaverdam, OH 45808-9702
Mailing address
PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2288180 | Medicaid | OH |
Other names
- Richland Township
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.