Provider Demographics
NPI:1083755839
Name:MAUMEE CITY OFFICE OF CLERK
Entity Type:Organization
Organization Name:MAUMEE CITY OFFICE OF CLERK
Other - Org Name:CITY OF MAUMEE AMBULANCE DIVISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:E
Authorized Official - Last Name:HARKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-315-6904
Mailing Address - Street 1:PO BOX 636979
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6979
Mailing Address - Country:US
Mailing Address - Phone:855-626-9660
Mailing Address - Fax:833-953-0588
Practice Address - Street 1:220 ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-2161
Practice Address - Country:US
Practice Address - Phone:419-897-7124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2023-08-14
Deactivation Date:2023-06-20
Deactivation Code:
Reactivation Date:2023-08-14
Provider Licenses
StateLicense IDTaxonomies
341600000X
OHFCY.020300200-13341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0243847Medicaid
OH590175396OtherRAILROAD MEDICARE