Provider Demographics
NPI:1144384801
Name:BATH TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:BATH TOWNSHIP TRUSTEES
Other - Org Name:BATH TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:R
Authorized Official - Last Name:THEWES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-666-4007
Mailing Address - Street 1:3864 W BATH RD #F
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-1104
Mailing Address - Country:US
Mailing Address - Phone:330-666-3738
Mailing Address - Fax:330-665-1352
Practice Address - Street 1:3864 W BATH RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-1104
Practice Address - Country:US
Practice Address - Phone:330-666-3738
Practice Address - Fax:330-665-1352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020299300341600000X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2279958Medicaid
OH2279958Medicaid