Township of Erie Township Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

License

020362200 Issued in OH

Legal business name

TOWNSHIP OF ERIE TOWNSHIP TRUSTEES

Doing business as

Erie Township Fire Dept and EMS

Practice address

5585 W Harbor Rd
Port Clinton, OH 43452

Phone

(419) 635-2820

Fax

(419) 635-2834

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Amy L Holcomb

Title

Fiscal Officer

Phone

(419) 635-2010

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• ERIE TOWNSHIP FIRE DEPT AND EMS Doing business as

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": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1801224563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "LACARNE",
            "state": "OH",
            "postal_code": "434390312",
            "telephone_number": "419-635-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5585 W HARBOR RD",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "43452",
            "telephone_number": "419-635-2820",
            "fax_number": "419-635-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF ERIE TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "419-635-2010"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "020362200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01712079",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC",
            "identifier": "=========",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112405",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERIE TOWNSHIP FIRE DEPT AND EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ERIE TOWNSHIP FIRE DEPT AND EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal Lynn Sullivan, LPN
• Wanda S Sutherland, INDEPENDENT PROVIDER
• Laura Tenney
• The Giving Tree, Inc.
• The Kroger Co (Kroger Pharmacy)
• Samantha Brooke Trease, MA, LPCC
• Natalie Twarek, R.N.
• United Church Homes, Inc., Dba the Parkvue Community on Catawba Island
• Unity Behavioral Health
• Bridgett Noel Urban, D.C.

• Ambulance in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.