Provider Demographics
NPI:1578275541
Name:ADAMS TOWNSHIP
Entity Type:Organization
Organization Name:ADAMS TOWNSHIP
Other - Org Name:ROSEWOOD FIRE & EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARY JO
Authorized Official - Middle Name:
Authorized Official - Last Name:KIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-726-3299
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:ROSEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:43070-0208
Mailing Address - Country:US
Mailing Address - Phone:937-726-3299
Mailing Address - Fax:
Practice Address - Street 1:10778 ST. RT.29 W
Practice Address - Street 2:
Practice Address - City:ROSEWOOD
Practice Address - State:OH
Practice Address - Zip Code:43070
Practice Address - Country:US
Practice Address - Phone:937-726-3299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport