Active NPI
Harris Township Board of Trustees
Doing business as Harris Township
- Ambulance
- Elmore, OH
National Provider Identifier
1578627832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2011
- 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
- Dave Robenstein
- Title
- Fiscal Officer
- Phone
- (419) 862-3323
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2279850 | Medicaid | OH |
Other names 1
- Harris Township
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120220000225 | OH | Part B Supplier - Ambulance Service Supplier | 5496913675 | Practice locations: Elmore, OH |
National Provider Directory
National Provider DirectoryNPI 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
- Travis Diehl
- Dr. Amy L. Smith DDS.,LLC (Elmore Family Dentistry)
- Elmore Chiropractic, LLC, Craig T. Butler, II, DC (Elmore Chiropractic)
- Stacy M Gerwin
- Gibsonburg Pharmacy Inc (Pills N Packages)
- Ashley Marie Koch, CNP
- Melanie Marie Moore, LPC
- Bhaskara R Narra, MD
- Ravi Narra, MD
- Progressive Therapy Alternatives, Inc (Elmore Physical Therapy)
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.