Union Township Life Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

UNION TOWNSHIP LIFE SQUAD, INC.

Practice address

4960 Davis Rd
West Milton, OH 45383-7734

Phone

(937) 698-7507

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Jessica Weikert

Title

Chief

Phone

(937) 698-8857

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1508892969",
    "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",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 DAVIS RD",
            "city": "WEST MILTON",
            "state": "OH",
            "postal_code": "453837734",
            "telephone_number": "937-698-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION TOWNSHIP LIFE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "WEIKERT",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "937-698-8857"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155176",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2202262",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John E Stuckey, LDO
• Lori Ann Study
• Amber Faye Sturgill
• Amber N Thompson
• Beatrice Dawn Timko
• Angyneller Irene Walker
• Barbara J Walters
• Sheila Watkins
• West Milton Vision Center, LLC
• West Milton Vision Center, LLC

• Land Ambulance in West Milton, OH
• Providers in West Milton, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.