Provider Demographics
NPI:1386857514
Name:CITY OF TWINSBURG
Entity Type:Organization
Organization Name:CITY OF TWINSBURG
Other - Org Name:TWINSBURG FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PROCOP
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:330-425-7161
Mailing Address - Street 1:10075 RAVENNA RD
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1718
Mailing Address - Country:US
Mailing Address - Phone:330-425-7161
Mailing Address - Fax:330-963-6251
Practice Address - Street 1:10075 RAVENNA RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1718
Practice Address - Country:US
Practice Address - Phone:330-963-6256
Practice Address - Fax:330-487-1117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2376567Medicaid
OH2376567Medicaid