Provider Demographics
NPI:1477587343
Name:TOWNSHIP OF MILTON TRUSTEES
Entity Type:Organization
Organization Name:TOWNSHIP OF MILTON TRUSTEES
Other - Org Name:STERLING FIRE DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-939-2121
Mailing Address - Street 1:PO BOX 205
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:OH
Mailing Address - Zip Code:44276-0205
Mailing Address - Country:US
Mailing Address - Phone:330-939-2121
Mailing Address - Fax:
Practice Address - Street 1:13845 KAUFFMAN AVE
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:OH
Practice Address - Zip Code:44276
Practice Address - Country:US
Practice Address - Phone:330-939-2121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWNSHIP OF MILTON TRUSTEES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020949000341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3145402Medicaid
OH3145402Medicaid
OH9389801Medicare PIN
OH9389801Medicare PIN