Provider Demographics
NPI:1033153259
Name:VERMILLION TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:VERMILLION TOWNSHIP TRUSTEES
Other - Org Name:HAYESVILLE-VERMILLION FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:L
Authorized Official - Last Name:PICKERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-368-7335
Mailing Address - Street 1:601 COUNTY ROAD 2000
Mailing Address - Street 2:
Mailing Address - City:JEROMESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44840-9740
Mailing Address - Country:US
Mailing Address - Phone:419-368-7335
Mailing Address - Fax:
Practice Address - Street 1:8 HIGH STREET
Practice Address - Street 2:
Practice Address - City:HAYESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44838-0242
Practice Address - Country:US
Practice Address - Phone:419-368-7335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0363000341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00395611OtherRR MEDICARE
OH2750232Medicaid
OH020363000OtherBOARD OF PHARMACY
OH=========002OtherMEDICAL MUTUAL
OH2750232Medicaid