JEFFERSON TWP TTEES NPI 1720194970

NPI Information

NPI: 1720194970
Provider Name: JEFFERSON TWP TTEES

Doing Business As: JEFFERSON TOWNSHIP FIRE DEPT

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
3188 MAYSVILLE ST
BOWERSVILLE, OH
ZIP 45307
Phone: (937) 453-2571
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JEFFERSON TWP TTEES is a land transport ambulance in Bowersville, OH. JEFFERSON TWP TTEES NPI is 1720194970. The provider is registered as an organization entity type.
The provider Is Doing Business As Jefferson Township Fire Dept.

The provider's business location address is:

3188 MAYSVILLE ST
BOWERSVILLE, OH
ZIP 45307
Phone: (937) 453-2571

The provider's authorized official is John L Brubaker .
The authorized official title is Fire Chief and has the following contact phone number (937) 453-2571.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 10/6/2015.

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	021263450	OHIO	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	=========	OTHER	OHIO	TRICARE 4 LIFE
2	=========002	OTHER	OHIO	MEDICAL MUTUAL OF OHIO
3	H247870	MEDICARE PIN
4	2698808	MEDICAID	OHIO
5	=========00	OTHER	OHIO	BUREAU OF WORKERS COMP
6	000000494050	OTHER		ANTHEM

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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