Licking Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

LICKING TOWNSHIP

Doing business as

Licking Township Fire Company

Practice address

9384 Jacksontown Rd
Thornville, OH 43076-8803

Phone

(740) 323-0211

Fax

(740) 323-0568

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Kyle Weekly

Title

Fire Chief

Phone

(740) 323-0211

Specialties & licenses 1

Addresses

Other names 2

• Licking Township Fire Company Doing business as
• Licking Township Trustees Other name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1760055925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "JACKSONTOWN",
            "state": "OH",
            "postal_code": "430300222",
            "telephone_number": "740-323-0211",
            "fax_number": "740-323-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9384 JACKSONTOWN RD",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430768803",
            "telephone_number": "740-323-0211",
            "fax_number": "740-323-0568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11152 Flint Ridge Rd SE",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430567509",
            "country_code": "US",
            "telephone_number": "740-323-0622",
            "fax_number": "740-323-0568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LICKING TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "WEEKLY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "740-323-0211"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Licking Township Fire Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Licking Township Trustees",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon Elaine Jones, R.N.
• Kenneth J. Stovcik DDS and Joy Bebout Stovcik DDS, Inc.
• Alexis Klintworth
• Melissa Koppelman, DO
• Jennifer A. Kunzler, APRN-CNP
• Drewanne Maffett, EP
• Northern Local School District
• Northern Local Schools
• Vanessa Marie O'Brien, LPN
• Mandi Packer, O.T.

• Land Ambulance in Thornville, OH
• Providers in Thornville, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.