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BROOKFIELD TOWNSHIP
NPI 1104808492
Ambulance - Land Transport in Brookfield, OH

Active since November 14, 2005CLIA 36D0916059 · Waiver
774 STATE ROUTE 7 NE, BROOKFIELD, OH 44403(330) 448-1000(330) 448-4262 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brookfield Township NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKFIELD TOWNSHIP (NPI 1104808492) is a healthcare organization registered as a land transport in Brookfield, Ohio and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists David Masirovits, Chief, as its authorized official.

NPPES Registry Identity

NPI1104808492
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBROOKFIELD TOWNSHIP
Location Address774 STATE ROUTE 7 NEBrookfield, OH 44403-9630
Mailing AddressPo Box 392907Pittsburgh, PA 15251-9907 · (330) 448-1000 · Fax (330) 448-4262
Phone(330) 448-1000
Fax(330) 448-4262
Organization SubpartNo
Authorized OfficialDavid MasirovitsChief · (330) 448-1000
Enumeration DateNovember 14, 2005
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1104808492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
774 STATE ROUTE 7 NE, Brookfield, OH 44403
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Other Identifiers 3

Medicaid0188836OH
Medicaid0016410380003PA
Other000000155959Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0916059

Brookfield Township Fire Department · Brookfield, OH
Active · expires Jun 12, 2028
CLIA Number36D0916059
Laboratory TypeMobile Laboratory
Certificate Effective DateJune 13, 2026
Certificate Expiration DateJune 12, 2028
Laboratory DirectorDave E. Masirovits
Laboratory Phone(330) 969-1085
Laboratory LocationBrookfield Township Fire Department774 State Route 7 Northeast, Brookfield, OH 44403
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,590 services202 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
180 services137 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
134 services93 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brookfield Township's NPI number?

The NPI number for Brookfield Township is 1104808492. It was assigned to this organization in the NPPES registry on November 14, 2005.

Where is Brookfield Township located?

Brookfield Township is located at 774 State Route 7 NE, Brookfield, OH 44403. The listed phone number is (330) 448-1000.

What is Brookfield Township's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Brookfield Township hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0916059) is associated with this NPI, valid through June 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brookfield Township accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Brookfield Township as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brookfield Township was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.