Organization Active NPI

Bazetta Township Trustees

Doing business as Bazetta Township Fire Department

  • Ambulance
  • Cortland, OH
National Provider Identifier
1902888290
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
020833950 Issued in OH
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
BAZETTA TOWNSHIP TRUSTEESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1547466OtherOHGATEWAY CARE-CAID
000000155329OtherOHBCBS
0793539MedicaidOH

Other names 1

  • BAZETTA 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
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.

Verify at the official NPI Registry.