Provider Demographics
NPI:1417949256
Name:PERKINS TOWNSHIP
Entity Type:Organization
Organization Name:PERKINS TOWNSHIP
Other - Org Name:PERKINS TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:WOHLEVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-626-1334
Mailing Address - Street 1:2610 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-7231
Mailing Address - Country:US
Mailing Address - Phone:419-626-1334
Mailing Address - Fax:937-291-2971
Practice Address - Street 1:2610 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:OH
Practice Address - Zip Code:44870-5690
Practice Address - Country:US
Practice Address - Phone:419-626-1334
Practice Address - Fax:937-291-2971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0472151341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0646715Medicaid
OH000000156064OtherANTHEM
OHP00046931OtherRAILROAD MEDICARE
OHP00046931OtherRAILROAD MEDICARE