Active NPI
East Union Township Trustees
- Land Ambulance
- Apple Creek, OH
National Provider Identifier
1558307652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 020738400 10337
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020738400 | Other | OH | BOARD OF PHARMACY |
| 2111253 | Medicaid | OH |
Other names 1
- APPLE CREEK VOLUNTEER FIRE DEPARTMENT & EMERGENCY SQUAD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061128000375 | OH | Part B Supplier - Ambulance Service Supplier | 1355349432 | Practice locations: Apple Creek, OH |
National Provider Directory
National Provider DirectoryLocations
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.