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JEFFERSON TOWNSHIP
NPI 1275525131
Ambulance - Land Transport in Blacklick, OH

Active since August 17, 2005CLIA 36D0720443 · Waiver
6767 HAVENS CORNERS RD, BLACKLICK, OH 43004(614) 861-3757 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Township NPPES

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

JEFFERSON TOWNSHIP (NPI 1275525131) is a healthcare organization registered as a land transport in Blacklick, Ohio and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Bradford Lynn Shull, Chief, as its authorized official.

NPPES Registry Identity

NPI1275525131
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameJEFFERSON TOWNSHIP
Location Address6767 HAVENS CORNERS RDBlacklick, OH 43004-8317
Mailing AddressPo Box 392907Pittsburgh, PA 15251-9900 · (800) 962-1484
Phone(614) 861-3757
Organization SubpartNo
Authorized OfficialBradford Lynn ShullChief · (614) 861-3757
Enumeration DateAugust 17, 2005
Last NPPES UpdateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1275525131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
6767 HAVENS CORNERS RD, Blacklick, OH 43004
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Other Identifiers 3

Other000000239608OH · Anthem
Medicaid2363633OH
Other590015315OH · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 36D0720443

Jefferson Township Fire Department Attn Paul Zeeb MD · Blacklick, OH
Active · expires Aug 31, 2026
CLIA Number36D0720443
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPaul Zeeb MD
Laboratory Phone(614) 861-3757
Laboratory LocationJefferson Township Fire Department Attn Paul Zeeb MD6767 Havens Corner Road, Blacklick, OH 43004
CLIA data matches this NPI record on: Name Phone
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.
1,223 services130 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.
107 services97 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.
55 services39 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 Jefferson Township's NPI number?

The NPI number for Jefferson Township is 1275525131. It was assigned to this organization in the NPPES registry on August 17, 2005.

Where is Jefferson Township located?

Jefferson Township is located at 6767 Havens Corners Rd, Blacklick, OH 43004. The listed phone number is (614) 861-3757.

What is Jefferson Township's specialty?

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

Does Jefferson Township hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D0720443) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jefferson Township accept?

Health plans from Anthem Blue Cross and Blue Shield list Jefferson 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 Jefferson Township was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.