Organization Active NPI

Harris Township Board of Trustees

Doing business as Harris Township

  • Ambulance
  • Elmore, OH
National Provider Identifier
1578627832
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
HARRIS TOWNSHIP BOARD OF TRUSTEES
Doing business as
Harris Township
Practice address
321 Rice Street
Elmore, OH 43416
Phone
(419) 862-3323
Fax
(419) 862-2854
NPI assigned
Dec 21, 2006
Last updated
Nov 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Authorized official

Name
Dave Robenstein
Title
Fiscal Officer
Phone
(419) 862-3323

Specialties & licenses 2

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

Addresses

Primary practice location

321 Rice Street
Elmore, OH 43416

Mailing address

PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117

Other identifiers 1

IdentifierTypeStateIssuer
2279850MedicaidOH

Other names 1

  • Harris Township Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000225 OH Part B Supplier - Ambulance Service Supplier 5496913675 Practice locations: Elmore, OH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1578627832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 RICE STREET",
            "city": "ELMORE",
            "state": "OH",
            "postal_code": "43416",
            "telephone_number": "419-862-3323",
            "fax_number": "419-862-2854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS TOWNSHIP BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "ROBENSTEIN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-862-3323"
    },
    "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": "2279850",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harris Township",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.