Provider Demographics
NPI:1154652394
Name:WAYNE TOWNSHIP AUGLAIZE COUNTY
Entity Type:Organization
Organization Name:WAYNE TOWNSHIP AUGLAIZE COUNTY
Other - Org Name:WAYNE TWP FIRE & RESCUE
Other - Org Type:Doing Business As
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 1:212 N. WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:WAYNESFIELD
Practice Address - State:OH
Practice Address - Zip Code:45896
Practice Address - Country:US
Practice Address - Phone:419-568-5748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WAYNE TOWNSHIP AUGLAIZE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-28
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020315600341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0057215Medicaid
OH0057215Medicaid