Active NPI
Mifflin Township Trustees
Doing business as Mifflin Township Division of Fire
- Ambulance
- Gahanna, OH
National Provider Identifier
1780676395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- FCY.020308951-13
- Legal business name
- MIFFLIN TOWNSHIP TRUSTEES
- Doing business as
- Mifflin Township Division of Fire
- Practice address
- 475 Rocky Fork Blvd
Gahanna, OH 43230-3336 - Phone
- (614) 471-0542
- NPI assigned
- Aug 19, 2005
- Last updated
- Feb 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny King
- Title
- EMS Director
- Phone
- (614) 496-1871
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 02-0308953 | OH | |
| Ambulance | 341600000X | FCY.020308951-13 | OH | Primary |
| Land Ambulance | 3416L0300X | NU |
Addresses
Primary practice location
475 Rocky Fork Blvd
Gahanna, OH 43230-3336
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00212523 | Other | OH | RAILROAD MEDICARE |
| 000000362181 | Other | OH | ANTHEM |
| 2519653 | Medicaid | OH |
Other names 1
- Mifflin Township Division of Fire
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040929000545 | OH | Part B Supplier - Ambulance Service Supplier | 4981673654 | Practice locations: Columbus, OH; Gahanna, OH |
National Provider Directory
National Provider DirectoryLocations
400 W Johnstown Rd
Gahanna, OH 43230
Phone (614) 471-0542
400 W Johnstown Rd
Ste 201
Gahanna, OH 43230
422 McCutcheon Rd
Gahanna, OH 43230
Phone (614) 855-5871
475 Rocky Fork Blvd
Gahanna, OH 43230
Phone (614) 471-0542
485 Rocky Fork Blvd
Gahanna, OH 43230
Phone (614) 471-0542
501 Beecher Rd
Gahanna, OH 43230
Phone (614) 471-0542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1780676395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392907",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152519907",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 ROCKY FORK BLVD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432303336",
"telephone_number": "614-471-0542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIFFLIN TOWNSHIP TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-19",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "KING",
"authorized_official_first_name": "KENNY",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "614-496-1871"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "02-0308953",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "FCY.020308951-13",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00212523",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000362181",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2519653",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mifflin Township Division of Fire",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.