Perry Township Logan County Ohio

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

PERRY TOWNSHIP LOGAN COUNTY OHIO

Practice address

3265 Street State
East Liberty, OH 43319-0035

Phone

(937) 666-3404

NPI assigned

May 31, 2007

Organization subpart

No

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

Authorized official

Name

Cindy Stalling

Title

Clerk

Phone

(937) 666-3415

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360886400000",
    "number": "1518168046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35",
            "city": "EAST LIBERTY",
            "state": "OH",
            "postal_code": "433190035",
            "telephone_number": "937-666-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 STREET STATE",
            "city": "EAST LIBERTY",
            "state": "OH",
            "postal_code": "433190035",
            "telephone_number": "937-666-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY TOWNSHIP LOGAN COUNTY OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2013-02-15",
        "status": "A",
        "authorized_official_last_name": "STALLING",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CLERK",
        "authorized_official_telephone_number": "937-666-3415"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa K Elsass, COTA/L
• Jayme Hopkins, PTA
• Kristi L Loomis, APRN-CNP, FNP-C
• Lori Lumm, CNP
• Stacy Mack, PTA
• Mark Selmek, PT
• Mary Shappell, PTA
• Vascular Care International, Inc.
• Sara Vicari, PT

• Ambulance in East Liberty, OH
• Providers in East Liberty, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.