Provider Demographics
NPI:1558307652
Name:EAST UNION TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:EAST UNION TOWNSHIP TRUSTEES
Other - Org Name:APPLE CREEK VOLUNTEER FIRE DEPARTMENT & EMERGENCY SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:VALORIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-698-0103
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:APPLE CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44606-0222
Mailing Address - Country:US
Mailing Address - Phone:330-698-1371
Mailing Address - Fax:330-698-0103
Practice Address - Street 1:3400 S APPLE CREEK RD
Practice Address - Street 2:
Practice Address - City:APPLE CREEK
Practice Address - State:OH
Practice Address - Zip Code:44606
Practice Address - Country:US
Practice Address - Phone:330-698-1371
Practice Address - Fax:330-682-2287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020738400 103373416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH020738400OtherBOARD OF PHARMACY
OH2111253Medicaid
OH2111253Medicaid