County of Trumbull Liberty Township Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

COUNTY OF TRUMBULL LIBERTY TOWNSHIP TRUSTEES

Practice address

4001 Logan Way
Youngstown, OH 44505-1728

Phone

(800) 962-1484

Fax

(513) 772-4464

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Doug Theobald

Title

Chief

Phone

(330) 759-0363

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1518902113",
    "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": "4001 LOGAN WAY",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051728",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TRUMBULL LIBERTY TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "THEOBALD",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "330-759-0363"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441590280",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000155990",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266466",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alysia Cotton
• Neshayla Sheneque Council, LPN
• Yolanda Council
• Counseling on Purpose, LLC
• County of Mahoning (Mahoning County Health Department)
• Charity A Cousin, CPRS
• Kevin Michael Couthen
• Justin Covan, CDCA
• Jamie Cowger
• Maritza Cox

• Ambulance in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.