Active NPI
Bazetta Township Trustees
Doing business as Bazetta Township Fire Department
- Ambulance
- Cortland, OH
National Provider Identifier
1902888290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 020833950
- Legal business name
- BAZETTA TOWNSHIP TRUSTEES
- Doing business as
- Bazetta Township Fire Department
- Practice address
- 3000 Warren Meadville Rd
Cortland, OH 44410-9322 - Phone
- (330) 637-4136
- Fax
- (330) 638-4193
- NPI assigned
- Nov 14, 2005
- Last updated
- Nov 1, 2022
- Organization subpart
- Yes
- Parent organization
- BAZETTA TOWNSHIP TRUSTEES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom S Rink
- Title
- Chief
- Phone
- (330) 637-4136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 020833950 | OH | Primary |
Addresses
Primary practice location
3000 Warren Meadville Rd
Cortland, OH 44410-9322
Mailing address
3372 State Route 5
Cortland, OH 44410-1627
Phone (330) 637-8816
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1547466 | Other | OH | GATEWAY CARE-CAID |
| 000000155329 | Other | OH | BCBS |
| 0793539 | Medicaid | OH |
Other names 1
- BAZETTA 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 |
|---|---|---|---|---|
| O20040325000873 | OH | Part B Supplier - Ambulance Service Supplier | 3274425335 | Practice locations: Cortland, OH |
National Provider Directory
National Provider Directory- Part of
- Bazetta Township Trustees
Locations
3000 Warren Meadville Rd
Cortland, OH 44410
Phone (216) 637-8816
3372 State Route 5
Cortland, OH 44410
773 Everett Hull Rd
Cortland, OH 44410
Phone (330) 637-4136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667260800000",
"number": "1902888290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3372 STATE ROUTE 5",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444101627",
"telephone_number": "330-637-8816",
"fax_number": "330-637-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 WARREN MEADVILLE RD",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109322",
"telephone_number": "330-637-4136",
"fax_number": "330-638-4193"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAZETTA TOWNSHIP TRUSTEES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BAZETTA TOWNSHIP TRUSTEES",
"enumeration_date": "2005-11-14",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A",
"authorized_official_last_name": "RINK",
"authorized_official_first_name": "TOM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "330-637-4136",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "020833950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY CARE-CAID",
"identifier": "1547466",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000155329",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0793539",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BAZETTA TOWNSHIP FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BAZETTA TOWNSHIP FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.