Provider Demographics
NPI:1225677727
Name:TOWN OF CLARKSVILLE
Entity Type:Organization
Organization Name:TOWN OF CLARKSVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWN SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:B
Authorized Official - Last Name:TRUAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-968-2031
Mailing Address - Street 1:8610 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7455
Mailing Address - Country:US
Mailing Address - Phone:716-204-3350
Mailing Address - Fax:716-247-5274
Practice Address - Street 1:8854 COUNTY ROAD, ROUTE 40
Practice Address - Street 2:
Practice Address - City:WEST CLARKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14786-0064
Practice Address - Country:US
Practice Address - Phone:585-968-3138
Practice Address - Fax:585-968-9073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-31
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport