Eaton Township Ttee

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

EATON TOWNSHIP TTEE

Practice address

35955 E Royalton Rd
Grafton, OH 44044

Phone

(800) 962-1484

Fax

(513) 772-4464

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Bob Resar

Title

Chief

Phone

(440) 503-3296

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": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1528091667",
    "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": "35955 E ROYALTON RD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "44044",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATON TOWNSHIP TTEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "RESAR",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "440-503-3296"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2539248",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000325211",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Grafton, OH
• Providers in Grafton, OH by specialty
• 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.