Provider Demographics
NPI:1154478196
Name:WAYNE TOWNSHIP, AUGLAIZE COUNTY
Entity Type:Organization
Organization Name:WAYNE TOWNSHIP, AUGLAIZE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-568-5748
Mailing Address - Street 1:PO BOX 103
Mailing Address - Street 2:
Mailing Address - City:WAYNESFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45896-0103
Mailing Address - Country:US
Mailing Address - Phone:419-568-5748
Mailing Address - Fax:
Practice Address - Street 1:120 N. WESTMINSTER ST.
Practice Address - Street 2:
Practice Address - City:WAYNESFIELD
Practice Address - State:OH
Practice Address - Zip Code:45896-0103
Practice Address - Country:US
Practice Address - Phone:419-568-5748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport