Provider Demographics
NPI:1609620517
Name:CITY OF SIDNEY
Entity Type:Organization
Organization Name:CITY OF SIDNEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSIT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHALOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-498-8151
Mailing Address - Street 1:413 S VANDEMARK RD
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-2441
Mailing Address - Country:US
Mailing Address - Phone:937-498-8151
Mailing Address - Fax:937-498-8750
Practice Address - Street 1:413 S VANDEMARK RD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-2441
Practice Address - Country:US
Practice Address - Phone:937-498-8151
Practice Address - Fax:937-498-8750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-16
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2532101Medicaid