Active NPI
Township of Clay Trustees
- Land Ambulance
- Portsmouth, OH
National Provider Identifier
1497803159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWNSHIP OF CLAY TRUSTEES
- Practice address
- 1129 Orm Ave
Portsmouth, OH 45662-6439 - Phone
- (740) 456-4071
- NPI assigned
- Jan 8, 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
- Mr. Richard Vournazos
- Title
- Fiscal Officer
- Phone
- (740) 353-8510
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1129 Orm Ave
Portsmouth, OH 45662-6439
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070212000498 | OH | Part B Supplier - Ambulance Service Supplier | 0042212565 | Practice locations: Portsmouth, OH |
National Provider Directory
National Provider DirectoryLocations
6000 N State Route 139
Lucasville, OH 45648
Phone (740) 456-4071
3019 Maple Benner Rd
Portsmouth, OH 45662
Phone (740) 456-4419
1129 Orm Ave
Portsmouth, OH 45662
Phone (740) 353-8510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716422400000",
"number": "1497803159",
"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": "800-962-1484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1129 ORM AVE",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456626439",
"telephone_number": "740-456-4071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF CLAY TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A",
"authorized_official_last_name": "VOURNAZOS",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "FISCAL OFFICER",
"authorized_official_telephone_number": "740-353-8510",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.