GOSHEN TOWNSHIP BOARD OF TRUSTEES NPI 1659368421

NPI Information

NPI: 1659368421
Provider Name: GOSHEN TOWNSHIP BOARD OF TRUSTEES
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 36D2110620

Address:
1849 STATE ROUTE 28
GOSHEN, OH
ZIP 45122
Phone: (513) 722-3473
Get Directions

GOSHEN TOWNSHIP BOARD OF TRUSTEES is an ambulance in Goshen, 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). GOSHEN TOWNSHIP BOARD OF TRUSTEES NPI is 1659368421. The provider is registered as an organization entity type.

The provider's business location address is:

1849 STATE ROUTE 28
GOSHEN, OH
ZIP 45122-316
Phone: (513) 722-3473
Fax: (513) 722-3212

The provider's authorized official is Stephen Pegram .
The authorized official title is Fire Chief and has the following contact phone number (513) 722-3400.

The CLIA number assigned to this NPI record is 36D2110620 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 11/10/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance				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	9292201	MEDICARE PIN	OHIO
2	=========00	OTHER	OHIO	BUREAU OF WORKERS COMP
3	486960001	OTHER	OHIO	CARESOURCE
4	000000021451	OTHER	OHIO	ANTHEM BCBS
5	590012544	OTHER	OHIO	RAILROAD MEDICARE
6	=========003	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
7	2068560	MEDICAID	OHIO
8	=========	OTHER	OHIO	TRICARE 4 LIFE

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

NPI Synchronization or Removal

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