Wayne Township Trustees Tuscarawas County
Organization Active NPI Land Ambulance · Dundee, OH
NPI 1679968622 · NPPES record last updated Jun 22, 2022
Key facts
- NPI
- 1679968622
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- WAYNE TOWNSHIP TRUSTEES TUSCARAWAS COUNTY
- Practice address
- 7899 Cherry Run Road NW
Dundee, OH 44624 - Phone
- (330) 602-5180
- NPI assigned
- Apr 6, 2015
- Organization subpart
- No
Authorized official
- Name
- Lisa M Troyer
- Title
- Fiscal Officer
- Phone
- (330) 852-2835
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150629002023 | OH | Part B Supplier - Ambulance Service Supplier | 5294047577 | Practice locations: Dundee, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
7899 Cherry Run Road NW
Dundee, OH 44624
Mailing address
PO Box 126
Dundee, OH 44624-0126
Phone (330) 852-2835
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021002950 | Other | OH | STATE OF OHIO PHARMACY LICENSE |
| 0139565 | Medicaid | OH |
Other names
- Wayne Twp Volunteer Fire Department
Other providers in Dundee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2022. 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.