Provider Demographics
NPI:1598196107
Name:MASSILLON CABLE TV INC
Entity Type:Organization
Organization Name:MASSILLON CABLE TV INC
Other - Org Name:SAFEGUARD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:GESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-833-4134
Mailing Address - Street 1:PO BOX 239
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44648-0239
Mailing Address - Country:US
Mailing Address - Phone:330-833-4134
Mailing Address - Fax:330-809-0222
Practice Address - Street 1:814 CABLE CT NW
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44647-4284
Practice Address - Country:US
Practice Address - Phone:330-833-4134
Practice Address - Fax:330-809-0222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-06
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333300000XSuppliersEmergency Response System Companies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH312242798OtherMEDICAID PASSPORT ODA PROVIDER #