Provider Demographics
NPI:1518503721
Name:OLIVE TOWNSHIP ST JOSEPH COUNTY
Entity Type:Organization
Organization Name:OLIVE TOWNSHIP ST JOSEPH COUNTY
Other - Org Name:OLIVE CIVIL TOWNSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWNSHIP TRUSTEE
Authorized Official - Prefix:
Authorized Official - First Name:WILL
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-654-3231
Mailing Address - Street 1:PO BOX 214
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:IN
Mailing Address - Zip Code:46552-0214
Mailing Address - Country:US
Mailing Address - Phone:574-654-3231
Mailing Address - Fax:574-654-3744
Practice Address - Street 1:204 E. MICHIGAN
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:IN
Practice Address - Zip Code:46552
Practice Address - Country:US
Practice Address - Phone:574-654-3224
Practice Address - Fax:574-654-3744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport