Organization Active NPI

Township of Wooster Ttees

  • Ambulance
  • Wooster, OH
National Provider Identifier
1972545523
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
020325200 Issued in OH
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 TTEESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Verify at the official NPI Registry.