Madison Township BD of Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

License

02-1623900 Issued in OH

Legal business name

MADISON TOWNSHIP BD OF TRUSTEES

Practice address

5655 Mosiman Rd
Middletown, OH 45042-0001

Phone

(513) 424-3384

Fax

(513) 424-4659

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Bradley Jordan Peters

Title

Assistant Chief

Phone

(513) 678-5167

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Madison Twp Fire & Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1891809018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484",
            "fax_number": "513-527-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 MOSIMAN RD",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450420001",
            "telephone_number": "513-424-3384",
            "fax_number": "513-424-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON TOWNSHIP BD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "513-678-5167"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0353550",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-1623900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2712372",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000503811",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00654167",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Twp Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Twp Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Selena E Mack
• Tracy Marcel Mack
• Maclean & Jungdahl, DMD, Inc
• Douglas Maclean, DMD
• Madison Local Schools
• Jerry B Magone, MD
• Evan Mahle
• Majestic Care Middletown Assisted Living LLC
• Majestic Care of Middletown LLC
• Elizabeth Ann Malanowski

• Ambulance in Middletown, OH
• Providers in Middletown, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.