Organization Active NPI

Mifflin Township Trustees

Doing business as Mifflin Township Division of Fire

  • Ambulance
  • Gahanna, OH
National Provider Identifier
1780676395
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
FCY.020308951-13 Issued in OH
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00212523OtherOHRAILROAD MEDICARE
000000362181OtherOHANTHEM
2519653MedicaidOH

Other names 1

  • Mifflin Township Division of Fire Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929000545 OH Part B Supplier - Ambulance Service Supplier 4981673654 Practice locations: Columbus, OH; Gahanna, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.