Organization Active NPI

Perry Township Trustees

  • Land Ambulance
  • Canton, OH
National Provider Identifier
1801924055
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Sep 14, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
59001893OtherOHTRAVELERS
2027292MedicaidOH
1527498OtherOHUMWA

Other names 1

  • PERRY TOWNSHIP FIRE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080205000453 OH Part B Supplier - Ambulance Service Supplier 0143303735 Practice locations: Canton, OH; Navarre, OH; Massillon, OH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.