BROOKFIELD TOWNSHIP NPI 1104808492

NPI Information

NPI: 1104808492
Provider Name: BROOKFIELD TOWNSHIP
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
774 STATE ROUTE 7 NE
BROOKFIELD, OH
ZIP 44403
Phone: (330) 448-1000
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BROOKFIELD TOWNSHIP is a land transport ambulance in Brookfield, OH. BROOKFIELD TOWNSHIP NPI is 1104808492. The provider is registered as an organization entity type.

The provider's business location address is:

774 STATE ROUTE 7 NE
BROOKFIELD, OH
ZIP 44403-630
Phone: (330) 448-1000
Fax: (330) 448-4262

The provider's authorized official is Dena Mcmullen .
The authorized official title is Fiscal Officer and has the following contact phone number (330) 448-4500.

The enumeration date for this NPI number is 11/14/2005 and was last updated on 1/23/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========001	OTHER		MEDICAL MUTUAL OHIO
2	000000155959	OTHER		ANTHEM
3	BO9279721	MEDICARE ID-TYPE UNSPECIFIED	OHIO
4	0188836	MEDICAID	OHIO
5	590009929	MEDICARE PIN	OHIO
6	=========00	OTHER		WORK COMP OHIO
7	0016410380003	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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