Jefferson Township Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020675850 Issued in OH

Legal business name

JEFFERSON TOWNSHIP TRUSTEES

Doing business as

Jefferson TWP-Bellville Fire Department

Practice address

470 Main St
Bellville, OH 44813-1217

Phone

(419) 886-2111

Fax

(419) 886-2142

NPI assigned

May 16, 2011

Last updated

Jan 10, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

JEFFERSON TOWNSHIP TRUSTEESAs reported in NPPES

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

Authorized official

Name

Adrianne M Edwards

Title

Fiscal Officer

Phone

(419) 631-9617

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jefferson TWP-Bellville Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Part of

Jefferson Township Trustees

Locations

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1598058190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448130356",
            "telephone_number": "419-886-2111",
            "fax_number": "419-886-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 MAIN ST",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448131217",
            "telephone_number": "419-886-2111",
            "fax_number": "419-886-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON TOWNSHIP TRUSTEES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON TOWNSHIP TRUSTEES",
        "enumeration_date": "2011-05-16",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ADRIANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-631-9617"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020675850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "020675850",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273273",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jefferson TWP-Bellville Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jefferson TWP-Bellville Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Bellville, OH
• Providers in Bellville, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.