Organization Active NPI

Ravenna Township Trustees

  • Ambulance
  • Ravenna, OH
National Provider Identifier
1992911093
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
RAVENNA TOWNSHIP TRUSTEES
Practice address
6115 Spring St
Ravenna, OH 44266-1335
Phone
(330) 297-2192
Fax
(330) 297-2194
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Mr. Steven Bosso
Title
Fire Chief
Phone
(330) 297-2192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

6115 Spring St
Ravenna, OH 44266-1335

Mailing address

6115 Spring St
Ravenna, OH 44266-1335
Phone (330) 297-2192

Other identifiers 1

IdentifierTypeStateIssuer
0105979MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050506000473 OH Part B Supplier - Ambulance Service Supplier 0648210849 Practice locations: Ravenna, OH

National Provider Directory

National Provider Directory

Locations

6115 Spring St
Ravenna, OH 44266
Phone (330) 297-2192

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1992911093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 SPRING ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661335",
            "telephone_number": "330-297-2192",
            "fax_number": "330-297-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 SPRING ST",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661335",
            "telephone_number": "330-297-2192",
            "fax_number": "330-297-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVENNA TOWNSHIP TRUSTEES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "BOSSO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "330-297-2192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0105979",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.