College Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COLLEGE TOWNSHIP

Practice address

102 E. Brooklyn Street
Gambier, OH 43022

Phone

(740) 427-3394

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Martha Rambo

Title

Fiscal Officer

Phone

(740) 427-3394

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1730532425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E. BROOKLYN STREET",
            "city": "GAMBIER",
            "state": "OH",
            "postal_code": "430229704",
            "telephone_number": "740-427-3394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E. BROOKLYN STREET",
            "city": "GAMBIER",
            "state": "OH",
            "postal_code": "43022",
            "telephone_number": "740-427-3394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "RAMBO",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "740-427-3394"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0186957",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Bell
• Brenda Sue Breneman
• Hillary Faye Breneman
• Karen Joan Crane, FNP CRNP
• Julie Farmer, SLP
• Colleen Sue Frazee
• Gina Ann Grosscup
• Landra Houston

• All providers in Gambier, OH
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.