Provider Demographics
NPI:1235281619
Name:OSNABURG TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:OSNABURG TOWNSHIP TRUSTEES
Other - Org Name:OSNABURG TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOWERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-488-0235
Mailing Address - Street 1:7115 HILLVALE ST SE
Mailing Address - Street 2:
Mailing Address - City:EAST CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44730-9437
Mailing Address - Country:US
Mailing Address - Phone:330-488-0235
Mailing Address - Fax:330-488-1744
Practice Address - Street 1:110 CHURCH ST W
Practice Address - Street 2:
Practice Address - City:EAST CANTON
Practice Address - State:OH
Practice Address - Zip Code:44730-1122
Practice Address - Country:US
Practice Address - Phone:330-488-1547
Practice Address - Fax:330-488-1928
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSNABURG TOWNSHIP TRUSTEES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-17
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020632850341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2019407Medicaid
OH2019407Medicaid