Provider Demographics
NPI:1568451185
Name:CITY OF TIPP CITY
Entity Type:Organization
Organization Name:CITY OF TIPP CITY
Other - Org Name:MONROE TOWNSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SENSEMAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-667-1680
Mailing Address - Street 1:PO BOX 621005
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45262-1005
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:260 S GARBER DR
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-1182
Practice Address - Country:US
Practice Address - Phone:937-667-1680
Practice Address - Fax:937-667-5816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0405243Medicaid
OH000000004805OtherANTHEM BCBS
OH=========00OtherBUREAU OF WORKER COMP
OH=========004OtherMEDICAL MUTUAL OF OHIO
OH0405243Medicaid
OH=========00OtherBUREAU OF WORKER COMP