Killbuck Township
Organization Active NPI Ambulance · Killbuck, OH
NPI 1679680649 · NPPES record last updated Apr 20, 2023
Key facts
- NPI
- 1679680649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 020833900 (OH)
- Legal business name
- KILLBUCK TOWNSHIP
- Practice address
- 340 N. Main Street
Killbuck, OH 44637 - Phone
- (330) 276-0441
- Fax
- (330) 276-6607
- NPI assigned
- Aug 24, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- KILLBUCK TOWNSHIP
Authorized official
- Name
- Jennifer M Thorpe
- Title
- Fiscal Officer
- Phone
- (330) 276-0441
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071204000514 | OH | Part B Supplier - Ambulance Service Supplier | 1850480492 | Practice locations: Killbuck, OH |
National Provider Directory
- Part of
- Killbuck TWP Trustees
Locations
340 N Main St
Killbuck, OH 44637
Phone (330) 276-0441
310 N Main St
Killbuck, OH 44637
Phone (330) 276-2571
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 020833900 | OH | Yes |
Addresses
Primary practice location
340 N. Main Street
Killbuck, OH 44637
Mailing address
310 N Main St
Killbuck, OH 44637-9797
Phone (330) 276-0441
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2070539 | Medicaid | OH | |
| 020833900 | Other | OH | BOARD OF PHARMACY |
Other names
- Killbuck Township Fire & EMS
Other providers in Killbuck, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.