Active NPI
Perry Township Trustees
- Land Ambulance
- Canton, OH
National Provider Identifier
1801924055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- PERRY TOWNSHIP TRUSTEES
- Practice address
- 1325 Perry Dr SW
Canton, OH 44710-1034 - Phone
- (330) 833-3865
- Fax
- (330) 833-7972
- NPI assigned
- Mar 1, 2007
- 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
- Larry S Sedlock
- Title
- Chief
- Phone
- (330) 833-3865
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1325 Perry Dr SW
Canton, OH 44710-1034
Mailing address
PO Box 621
Lewis Center, OH 43035-0621
Phone (330) 833-3865
Other practice location 1
6425 Bosford St SW
Navarre, OH 44662-9724
Phone (330) 833-3865
Other practice location 2
3100 Bailey Ave NW
Massillon, OH 44646
Phone (330) 833-3865
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59001893 | Other | OH | TRAVELERS |
| 2027292 | Medicaid | OH | |
| 1527498 | Other | OH | UMWA |
Other names 1
- PERRY TOWNSHIP FIRE DEPARTMENT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080205000453 | OH | Part B Supplier - Ambulance Service Supplier | 0143303735 | Practice locations: Canton, OH; Navarre, OH; Massillon, OH |
National Provider Directory
National Provider DirectoryLocations
1325 Perry Dr SW
Canton, OH 44710
Phone (330) 477-1443
3100 Bailey St NW
Massillon, OH 44646
Phone (330) 833-3865
440 Canford Ave NW
Massillon, OH 44646
Phone (330) 833-3865
6425 Bosford St SW
Navarre, OH 44662
Phone (330) 833-3865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1801924055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 621",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430350621",
"telephone_number": "330-833-3865",
"fax_number": "330-833-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 PERRY DR SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101034",
"telephone_number": "330-833-3865",
"fax_number": "330-833-7972"
}
],
"practiceLocations": [
{
"address_1": "6425 Bosford St SW",
"address_purpose": "LOCATION",
"city": "Navarre",
"state": "OH",
"postal_code": "446629724",
"country_code": "US",
"telephone_number": "330-833-3865",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3100 BAILEY AVE NW",
"address_purpose": "LOCATION",
"city": "MASSILLON",
"state": "OH",
"postal_code": "44646",
"country_code": "US",
"telephone_number": "330-833-3865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PERRY TOWNSHIP TRUSTEES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-01",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "SEDLOCK",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "330-833-3865"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS",
"identifier": "59001893",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2027292",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "1527498",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PERRY TOWNSHIP FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.