Organization Active NPI

Wayne Township Trustees

  • Land Ambulance
  • Waynesville, OH
National Provider Identifier
1679565311
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
020980950 Issued in OH
Legal business name
WAYNE TOWNSHIP TRUSTEES
Practice address
1100 Franklin Rd
Waynesville, OH 45068-3400
Phone
(513) 897-3010
NPI assigned
Aug 18, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Jason W Beckett
Title
Chief
Phone
(513) 897-3010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 020980950 OH Primary

Addresses

Primary practice location

1100 Franklin Rd
Waynesville, OH 45068-3400

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484

Other identifiers 2

IdentifierTypeStateIssuer
000000021626OtherOHANTHEM
2433950MedicaidOH

Other names 1

  • Wayne Township Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730001159 OH Part B Supplier - Ambulance Service Supplier 6507836947 Practice locations: Waynesville, OH

National Provider Directory

National Provider Directory

Locations

1100 Franklin Rd
Waynesville, OH 45068
Phone (513) 897-3010

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1679565311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN RD",
            "city": "WAYNESVILLE",
            "state": "OH",
            "postal_code": "450683400",
            "telephone_number": "513-897-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "BECKETT",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "513-897-3010"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020980950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000021626",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2433950",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesville, OH

Sources for this page

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