Organization Active NPI

East Union Township Trustees

  • Land Ambulance
  • Apple Creek, OH
National Provider Identifier
1558307652
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
020738400 10337 Issued in OH
Legal business name
EAST UNION TOWNSHIP TRUSTEES
Doing business as
APPLE CREEK VOLUNTEER FIRE DEPARTMENT & EMERGENCY SQUAD
Practice address
3400 S Apple Creek Rd
Apple Creek, OH 44606
Phone
(330) 698-1371
Fax
(330) 682-2287
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Valorie L Lewis
Title
Fiscal Officer
Phone
(330) 698-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 020738400 10337 OH Primary

Addresses

Primary practice location

3400 S Apple Creek Rd
Apple Creek, OH 44606

Mailing address

PO Box 222
Apple Creek, OH 44606-0222
Phone (330) 698-1371

Other identifiers 2

IdentifierTypeStateIssuer
020738400OtherOHBOARD OF PHARMACY
2111253MedicaidOH

Other names 1

  • APPLE CREEK VOLUNTEER FIRE DEPARTMENT & EMERGENCY SQUAD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061128000375 OH Part B Supplier - Ambulance Service Supplier 1355349432 Practice locations: Apple Creek, OH

National Provider Directory

National Provider Directory

Locations

3400 S Apple Creek Rd
Apple Creek, OH 44606
Phone (330) 682-2287

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1558307652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "446060222",
            "telephone_number": "330-698-1371",
            "fax_number": "330-698-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 S APPLE CREEK RD",
            "city": "APPLE CREEK",
            "state": "OH",
            "postal_code": "44606",
            "telephone_number": "330-698-1371",
            "fax_number": "330-682-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST UNION TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "VALORIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "330-698-0103"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020738400 10337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020738400",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLE CREEK VOLUNTEER FIRE DEPARTMENT & EMERGENCY SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Creek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.