Provider Demographics
NPI:1497744270
Name:DELHI TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:DELHI TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT CHIEFT
Authorized Official - Prefix:
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-922-2011
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 1:697 NEEB RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45233-4613
Practice Address - Country:US
Practice Address - Phone:513-922-2011
Practice Address - Fax:513-922-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2016-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000155256OtherANTHEM BCBS
OH2212644Medicaid
OH315670001OtherCARESOURCE
OH590013181OtherRAILROAD MEDICARE
OH590013181OtherRAILROAD MEDICARE
OH=========OtherTRICARE 4 LIFE
OH2212644Medicaid
OH000000155256OtherANTHEM BCBS