Organization Active NPI

Suffield Township Trustees

  • Ambulance
  • Mogadore, OH
National Provider Identifier
1710044615
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
SUFFIELD TOWNSHIP TRUSTEES
Practice address
1256 Waterloo Rd
Mogadore, OH 44260-9579
Phone
(330) 628-9240
Fax
(330) 628-5000
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Authorized official

Name
Mr. Robert L Rasnick
Title
Fire Chief
Phone
(330) 628-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

1256 Waterloo Rd
Mogadore, OH 44260-9579

Mailing address

1256 Waterloo Rd
Mogadore, OH 44260-9579
Phone (330) 628-9240

Other identifiers 1

IdentifierTypeStateIssuer
0102687MedicaidOH

Other names 1

  • Suffield Twp Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214000174 OH Part B Supplier - Ambulance Service Supplier 1850566258 Practice locations: Suffield, OH

National Provider Directory

National Provider Directory

Locations

1256 Waterloo Rd
Mogadore, OH 44260
Phone (330) 628-9240

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1710044615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 WATERLOO RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609579",
            "telephone_number": "330-628-9240",
            "fax_number": "330-628-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 WATERLOO RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609579",
            "telephone_number": "330-628-9240",
            "fax_number": "330-628-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFIELD TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "RASNICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-628-9240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0102687",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffield Twp Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mogadore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; 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.