Provider Demographics
NPI:1376898072
Name:ST. ALBANS TOWNSHIP
Entity Type:Organization
Organization Name:ST. ALBANS TOWNSHIP
Other - Org Name:ST. ALBANS TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:THEISEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-924-2211
Mailing Address - Street 1:PO BOX 346
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:OH
Mailing Address - Zip Code:43001-0346
Mailing Address - Country:US
Mailing Address - Phone:740-924-2211
Mailing Address - Fax:740-924-5454
Practice Address - Street 1:25 EAST MAIN ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:OH
Practice Address - Zip Code:43001-0346
Practice Address - Country:US
Practice Address - Phone:740-924-2211
Practice Address - Fax:740-924-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0077249Medicaid
OH0077249Medicaid