Washington Township

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

020320900 Issued in OH

Legal business name

WASHINGTON TOWNSHIP

Practice address

1900 S.S. Davis Dr.
West Portsmouth, OH 45663

Phone

(740) 858-2993

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey S Bauer

Title

Trustee

Phone

(740) 858-2993

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1992739551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10361 SPARTAN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452151220",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S.S. DAVIS DR.",
            "city": "WEST PORTSMOUTH",
            "state": "OH",
            "postal_code": "45663",
            "telephone_number": "740-858-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "TRUSTEE",
        "authorized_official_telephone_number": "740-858-2993"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "OH",
            "license": "020320900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2638613",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000390657",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00302665",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Tackett
• Julia Ann Thomes
• Madison Brooke Walker, APRN-CNP
• Karen Elaine Waller
• Katelyn Michelle Ward
• Washington-Nile Local School District
• Blaine A Weaver
• Brandon Tyler Weaver
• Nakita Weaver, CDCA
• Jacob Werring

• Land Ambulance in West Portsmouth, OH
• Providers in West Portsmouth, 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 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.