Bloom Township Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020309000-13 Issued in OH

Legal business name

BLOOM TOWNSHIP TRUSTEES

Practice address

8485 Lithopolis Rd
Carroll, OH 43112-9686

Phone

(614) 837-5530

NPI assigned

Aug 17, 2012

Organization subpart

No

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

Authorized official

Name

Thomas Clark Williams

Title

Fire Chief

Phone

(614) 837-5530

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bloom Township Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1801144191",
    "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": "152519900",
            "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": "8485 LITHOPOLIS RD",
            "city": "CARROLL",
            "state": "OH",
            "postal_code": "431129686",
            "telephone_number": "614-837-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 S MARKET ST",
            "address_purpose": "LOCATION",
            "city": "LITHOPOLIS",
            "state": "OH",
            "postal_code": "43136",
            "country_code": "US",
            "telephone_number": "614-837-5530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLOOM TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2024-11-01",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "614-837-5530"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020309000-13",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0075258",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000791961",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01099993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bloom Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Carla Youngdahl Berg, CCC-SLP
• Angela S Bichard
• Lyndsey Bigham
• Bloom-Carroll Local School District
• Rebekah Bower
• Kim Brown, INDIVIDUAL PROVIDER
• Marcus Brown
• Carroll Opco, LLC

• Ambulance in Carroll, OH
• Providers in Carroll, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.