Lake TWP Office of Clerk

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02-1054801 Issued in OH

Legal business name

LAKE TWP OFFICE OF CLERK

Doing business as

Lake Township

Practice address

27975 Cummins Rd
Millbury, OH 43447

Phone

(419) 838-6536

Fax

(419) 838-6732

NPI assigned

Sep 20, 2006

Last updated

Apr 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Buddy Ritson

Title

Fiscal Officer

Phone

(419) 838-6536

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Lake Township Doing business as

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1700984515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27975 CUMMINS RD",
            "city": "MILLBURY",
            "state": "OH",
            "postal_code": "43447",
            "telephone_number": "419-838-6536",
            "fax_number": "419-838-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TWP OFFICE OF CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "RITSON",
        "authorized_official_first_name": "BUDDY",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-838-6536"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-1054801",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418864",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00086247",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Township",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Esperanza Gutierrez, M.S. CCC-SLP
• Taryn Renae Hauter, M.A CCC-SLP
• Kim Lee Howard
• Leah E Hughes
• Lake Local Schools
• Joselyn M McCann, CERTIFIED DOULA
• Shylah May Miller
• Lisa Ann Neeson, M.S. CCC-SLP
• Christine Paul
• Ayla Philip

• Ambulance in Millbury, OH
• Providers in Millbury, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.