Organization Active NPI

Olmsted Township Board of Trustees

  • Land Ambulance
  • Olmsted TWP, OH
National Provider Identifier
1831142199
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
OLMSTED TOWNSHIP BOARD OF TRUSTEES
Doing business as
OLMSTED TOWNSHIP
Practice address
26900 Cook Rd
Olmsted TWP, OH 44138-1194
Phone
(440) 235-3099
Fax
(440) 235-3778
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Mr. John Rice
Title
Fire Chief
Phone
(440) 235-3099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

26900 Cook Rd
Olmsted TWP, OH 44138-1194

Mailing address

PO Box 21727
Cleveland, OH 44121-0727
Phone (440) 605-9117

Other identifiers 3

IdentifierTypeStateIssuer
000000273859OtherOHANTHEM BCBS
P00172691OtherOHRAILROAD MEDICARE
0991548MedicaidOH

Other names 1

  • OLMSTED TOWNSHIP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050103000448 OH Part B Supplier - Ambulance Service Supplier 5496713703 Practice locations: Olmsted TWP, OH

National Provider Directory

National Provider Directory

Locations

26900 Cook Rd
Olmsted Twp, OH 44138
Phone (440) 235-3099

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1831142199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21727",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441210727",
            "telephone_number": "440-605-9117",
            "fax_number": "440-442-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26900 COOK RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381194",
            "telephone_number": "440-235-3099",
            "fax_number": "440-235-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMSTED TOWNSHIP BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "440-235-3099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000273859",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00172691",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0991548",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OLMSTED TOWNSHIP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olmsted TWP, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.