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CHAMPION TOWNSHIP TRUSTEES NPI 1154483204


NPI Information

NPI: 1154483204
Provider Name: CHAMPION TOWNSHIP TRUSTEES
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 36D2067063

Address:
139 CHAMPION AVE W
WARREN, OH
ZIP 44483
Phone: (330) 847-0311
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CHAMPION TOWNSHIP TRUSTEES is an ambulance in Warren, OH. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). CHAMPION TOWNSHIP TRUSTEES NPI is 1154483204. The provider is registered as an organization entity type.

The provider's business location address is:

139 CHAMPION AVE W
WARREN, OH
ZIP 44483-413
Phone: (330) 847-0311
Fax: (330) 847-0318

The provider's authorized official is John E Hickey .
The authorized official title is Fire Chief and has the following contact phone number (330) 847-0311.

The CLIA number assigned to this NPI record is 36D2067063 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 and was last updated on 11/9/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportNo
2341600000XAmbulanceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11550207MEDICAIDOHIO
2913071300OTHERACS
3000000176195MEDICAIDOHIO
40527782MEDICAIDOHIO
5=========026MEDICAIDOHIO
6000000155967OTHERANTHEM
7=========-007OTHERMEDICAL MUTUAL
89199131MEDICARE PINOHIO
9=========-00OTHEROHIOWORKERS COMP

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.