Provider Demographics
NPI:1407848963
Name:TWIN TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:TWIN TOWNSHIP TRUSTEES
Other - Org Name:TWIN TOWNSHIP VOL FIRE AND LIFE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:FORD
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:740-626-2686
Mailing Address - Street 1:10361 SPARTAN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1220
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:11521 US RT 50
Practice Address - Street 2:BOX 6
Practice Address - City:BOURNEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45617
Practice Address - Country:US
Practice Address - Phone:740-626-2686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2016-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000366855OtherANTHEM
OH2579688Medicaid
OH2579688Medicaid
OHP00220984Medicare PIN