Sullivan Township Board of Trustees

Primary specialty

AmbulanceTaxonomy code 341600000X

License

021434800 Issued in OH

Legal business name

SULLIVAN TOWNSHIP BOARD OF TRUSTEES

Doing business as

Sullivan Volunteer Fire Department

Practice address

500 US Highway 224
Sullivan, OH 44880-9771

Phone

(419) 736-2255

Fax

(419) 736-2266

NPI assigned

Jun 27, 2006

Last updated

May 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas W Campbell

Title

Chief

Phone

(419) 736-2255

Specialties & licenses 1

Addresses

Other names 1

• Sullivan Volunteer Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1992732960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 US HIGHWAY 224",
            "city": "SULLIVAN",
            "state": "OH",
            "postal_code": "448809771",
            "telephone_number": "330-736-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 US HIGHWAY 224",
            "city": "SULLIVAN",
            "state": "OH",
            "postal_code": "448809771",
            "telephone_number": "419-736-2255",
            "fax_number": "419-736-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN TOWNSHIP BOARD OF TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "419-736-2255"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "021434800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sullivan Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula N Lower, LPN
• Amanda Jean McMahan, MS, AT, ATC
• Patricia Ann Moskal, LPN
• Tina Patterson
• Amanda Marie Snyder
• Robert Tucker Jr.
• Peggy Ann Wood-Sizemore, HHA
• Jacqulyn M Workman, CNA
• Shirley Jean Yeaples, LPN
• Debra Kay Yoder

• Ambulance in Sullivan, OH
• Providers in Sullivan, OH by specialty
• Ambulance in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.