Grafton Township Trustees

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GRAFTON TOWNSHIP TRUSTEES

Practice address

17109 Avon Belden Road
Grafton, OH 44044

Phone

(440) 926-8300

Fax

(440) 926-7800

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Bracken

Title

Fiscal Officer

Phone

(440) 926-8300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grafton Township Trustees Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1649334970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 100",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "44044",
            "telephone_number": "440-926-8300",
            "fax_number": "440-926-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17109 AVON BELDEN ROAD",
            "city": "GRAFTON",
            "state": "OH",
            "postal_code": "44044",
            "telephone_number": "440-926-8300",
            "fax_number": "440-926-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAFTON TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "BRACKEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "440-926-8300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grafton Township Trustees",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Enhancing Life Home Medical LLC
• Claire Falasco
• Mary Jo Fornash
• Gabriela Gambulut
• Dorena Gilchrist, LISW
• Grafton Village Fire Department
• John D Hackman, BSPH
• Lorraine S Harper
• Katie Rose Holstein, PHARMD
• Blythe Houghton, LISW

• Land Ambulance in Grafton, OH
• Providers in Grafton, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.