Provider Demographics
NPI:1316412125
Name:TOWNSHIP OF MADISON TRUSTEES
Entity Type:Organization
Organization Name:TOWNSHIP OF MADISON TRUSTEES
Other - Org Name:MADISON TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-937-2340
Mailing Address - Street 1:PO BOX 2050
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-7250
Mailing Address - Country:US
Mailing Address - Phone:614-937-2340
Mailing Address - Fax:
Practice Address - Street 1:51 1ST ST NE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9581
Practice Address - Country:US
Practice Address - Phone:614-937-2340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0331116Medicaid