Active NPI
Township of Wooster Ttees
- Ambulance
- Wooster, OH
National Provider Identifier
1972545523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 020325200
- Legal business name
- TOWNSHIP OF WOOSTER TTEES
- Practice address
- 1917 Millersburg Rd
Wooster, OH 44691-9409 - Phone
- (330) 264-9786
- Fax
- (330) 264-9786
- NPI assigned
- Jun 11, 2006
- Organization subpart
- Yes
- Parent organization
- TOWNSHIP OF WOOSTER TTEES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dallas B Terrell
- Title
- Chief
- Phone
- (330) 264-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 020325200 | OH | Primary |
Addresses
Primary practice location
1917 Millersburg Rd
Wooster, OH 44691-9409
Mailing address
1917 Millersburg Road
Wooster, OH 44691
Phone (330) 264-9786
Other names 1
- WOOSTER 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 |
|---|---|---|---|---|
| O20060913000334 | OH | Part B Supplier - Ambulance Service Supplier | 9133123714 | Practice locations: Wooster, OH |
National Provider Directory
National Provider Directory- Part of
- Township of Wooster Ttees
Locations
1917 Millersburg Rd
Wooster, OH 44691
Phone (330) 264-9786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628553600000",
"number": "1972545523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1917 MILLERSBURG ROAD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "44691",
"telephone_number": "330-264-9786",
"fax_number": "330-264-9786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1917 MILLERSBURG RD",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446919409",
"telephone_number": "330-264-9786",
"fax_number": "330-264-9786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWNSHIP OF WOOSTER TTEES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOWNSHIP OF WOOSTER TTEES",
"enumeration_date": "2006-06-11",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A",
"authorized_official_last_name": "TERRELL",
"authorized_official_first_name": "DALLAS",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "330-264-9786",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "OH",
"license": "020325200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WOOSTER TOWNSHIP FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WOOSTER TOWNSHIP FIRE DEPARTMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wooster, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.