Beavercreek Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BEAVERCREEK TOWNSHIP

Practice address

2195 Dayton Xenia Rd
Beavercreek, OH 45434-7154

Phone

(937) 426-1213

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

David A. Vandenbos

Title

Fire Chief

Phone

(937) 426-1213

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Beavercreek Township Fire Department 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": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1972505337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 ORCHARD LN",
            "city": "BEAVERCREEK TOWNSHIP",
            "state": "OH",
            "postal_code": "454347228",
            "telephone_number": "937-426-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2195 DAYTON XENIA RD",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454347154",
            "telephone_number": "937-426-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVERCREEK TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "VANDENBOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "937-426-1213"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "02-0302250",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "FCY.020302250-13",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000208191",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2239429",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014586",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beavercreek Township Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Madison Taelor Beck, OTR/L
• Nicholas Beecroft
• Brocton Begley
• Valerie Jean Beirise, FNP
• Adrienne Elizabeth Belcher, RN

• Land Ambulance in Beavercreek, OH
• Providers in Beavercreek, OH by specialty
• Land Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.