Clark Township
Organization Active NPI Ambulance · Hamersville, OH
NPI 1962446641 · NPPES record last updated May 14, 2025
Key facts
- NPI
- 1962446641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 022486150-13 (OH)
- Legal business name
- CLARK TOWNSHIP
- Practice address
- 224 Bank St.
Hamersville, OH 45130-0216 - Phone
- (937) 379-1822
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Ami Yelton
- Title
- Fiscal Officer
- Phone
- (937) 515-3485
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040816000649 | OH | Part B Supplier - Ambulance Service Supplier | 0547233850 | Practice locations: Hamersville, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 022486150-13 | OH | Yes |
Addresses
Primary practice location
224 Bank St.
Hamersville, OH 45130-0216
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590013772 | Other | OH | RAILROAD MEDICARE |
| 000000075359 | Other | OH | ANTHEM |
| 2179100 | Medicaid | OH |
Other names
- Hamersville-Clark Township EMS
Other providers in Hamersville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.