Organization Active NPI

Township of Perry Trustees

  • Land Ambulance
  • Zanesville, OH
National Provider Identifier
1811015258
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWNSHIP OF PERRY TRUSTEES
Practice address
4625 Boggs Rd
Zanesville, OH 43701-7967
Phone
(740) 452-3293
Fax
(740) 452-3293
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Bruce Sindeldecker
Title
Chief
Phone
(317) 775-6753

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4625 Boggs Rd
Zanesville, OH 43701-7967

Mailing address

PO Box 56002
Indianapolis, IN 46256-0002
Phone (740) 452-3293

Other identifiers 1

IdentifierTypeStateIssuer
2279912MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120427000668 OH Part B Supplier - Ambulance Service Supplier 9032155775 Practice locations: Zanesville, OH

National Provider Directory

National Provider Directory

Locations

1702 John Glenn Hwy
New Concord, OH 43762

4625 Boggs Rd
Zanesville, OH 43701
Phone (740) 452-3293

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1811015258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56002",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462560002",
            "telephone_number": "740-452-3293",
            "fax_number": "740-452-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BOGGS RD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017967",
            "telephone_number": "740-452-3293",
            "fax_number": "740-452-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF PERRY TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "SINDELDECKER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "317-775-6753"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2279912",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.