Jefferson Township Fayette County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

JEFFERSON TOWNSHIP FAYETTE COUNTY

Doing business as

JEFFERSON TOWNSHIP EMS

Practice address

28 S Main St
Jefferson Township, OH 43128-1019

Phone

(740) 426-6330

NPI assigned

Dec 4, 2018

Organization subpart

No

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

Authorized official

Name

Jacob Rose

Title

Administrative EMS Captain

Phone

(740) 463-1130

Specialties & licenses 1

Addresses

Other names 1

• JEFFERSON TOWNSHIP EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Jefferson Township Fayette2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jefferson Township

  • Ambulance
  • Jeffersonville, OH
  • NPI 1174611867
  NPD tax ID

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725753600000",
    "number": "1659841575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "OH",
            "postal_code": "431281019",
            "telephone_number": "740-426-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 S MAIN ST",
            "city": "JEFFERSON TOWNSHIP",
            "state": "OH",
            "postal_code": "431281019",
            "telephone_number": "740-426-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON TOWNSHIP FAYETTE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "ADMINISTRATIVE EMS CAPTAIN",
        "authorized_official_telephone_number": "740-463-1130"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFFERSON TOWNSHIP EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JEFFERSON TOWNSHIP EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2024; 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.