Provider Demographics
NPI:1093833477
Name:WASHINGTON TWP FIRE DEPT.
Entity Type:Organization
Organization Name:WASHINGTON TWP FIRE DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:WORTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-452-2221
Mailing Address - Street 1:PO BOX 2826
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43702-2826
Mailing Address - Country:US
Mailing Address - Phone:740-452-2221
Mailing Address - Fax:740-450-3265
Practice Address - Street 1:2310 ADAMSVILLE RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-6949
Practice Address - Country:US
Practice Address - Phone:740-452-2221
Practice Address - Fax:740-450-3265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0772525Medicaid
OH0772525Medicaid