Organization Active NPI

Madison Township

  • Ambulance
  • Groveport, OH
National Provider Identifier
1568537694
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MADISON TOWNSHIP
Practice address
4567 Firehouse LN
Groveport, OH 43125-9204
Phone
(614) 837-7883
Fax
(614) 836-0716
NPI assigned
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Laurie Vermeer
Title
Fiscal Officer
Phone
(614) 836-5308

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

4567 Firehouse LN
Groveport, OH 43125-9204

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 3

IdentifierTypeStateIssuer
2730503MedicaidOH
000000506111OtherOHANTHEM
P00372424OtherOHRAILROAD MEDICARE

Other names 1

  • MADISON TOWNSHIP FIRE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061130000539 OH Part B Supplier - Ambulance Service Supplier 8426056342 Practice locations: Canal Winchester, OH; Columbus, OH; Groveport, OH

National Provider Directory

National Provider Directory

Locations

6600 Gender Rd
Canal Winchester, OH 43110
Phone (614) 837-5149

4567 Firehouse Ln
Groveport, OH 43125
Phone (614) 837-7883

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1568537694",
    "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": "4567 FIREHOUSE LN",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259204",
            "telephone_number": "614-837-7883",
            "fax_number": "614-836-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "VERMEER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "614-836-5308"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2730503",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000506111",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00372424",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MADISON TOWNSHIP FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MADISON TOWNSHIP FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Groveport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.