Provider Demographics
NPI:1003965518
Name:MECCA TOWNSHIP
Entity Type:Organization
Organization Name:MECCA TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MANCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-448-6220
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9900
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:6333 STATE ROUTE 46
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:OH
Practice Address - Zip Code:44410-9609
Practice Address - Country:US
Practice Address - Phone:330-240-3145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000189250OtherANTHEM BC & BS
8180381OtherUNITED HEALTHCARE
OH0877510Medicaid
8180381OtherUNITED HEALTHCARE
=========-A01OtherMEDICAL MUTUAL
=========-A01OtherMEDICAL MUTUAL
8180381OtherUNITED HEALTHCARE