Provider Demographics
NPI:1669498721
Name:BEAVER TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:BEAVER TOWNSHIP TRUSTEES
Other - Org Name:BEAVER FIRE DEPT EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAUERWEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-549-2133
Mailing Address - Street 1:10361 SPARTAN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1220
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:601 W SOUTH RANGE RD
Practice Address - Street 2:
Practice Address - City:NORTH LIMA
Practice Address - State:OH
Practice Address - Zip Code:44452-9729
Practice Address - Country:US
Practice Address - Phone:330-549-2133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0944796Medicaid
OH000000155951OtherANTHEM BCBS