Provider Demographics
NPI:1568537694
Name:MADISON TOWNSHIP
Entity Type:Organization
Organization Name:MADISON TOWNSHIP
Other - Org Name:MADISON TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-836-5308
Mailing Address - Street 1:6333 S MEMORIAL DR STE G
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-1947
Mailing Address - Country:US
Mailing Address - Phone:614-837-7883
Mailing Address - Fax:614-836-0716
Practice Address - Street 1:4567 FIREHOUSE LN
Practice Address - Street 2:
Practice Address - City:GROVEPORT
Practice Address - State:OH
Practice Address - Zip Code:43125-9204
Practice Address - Country:US
Practice Address - Phone:614-837-7883
Practice Address - Fax:614-836-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2730503Medicaid
OHP00372424OtherRAILROAD MEDICARE
OH000000506111OtherANTHEM
OH9364721Medicare PIN