Provider Demographics
NPI:1699219378
Name:WASHINGTON TOWNSHIP
Entity Type:Organization
Organization Name:WASHINGTON TOWNSHIP
Other - Org Name:WASHINGTON TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ALEC
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-652-3950
Mailing Address - Street 1:PO BOX 639194
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:614-652-3920
Mailing Address - Fax:614-766-2507
Practice Address - Street 1:6200 EITERMAN RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-8711
Practice Address - Country:US
Practice Address - Phone:614-652-3920
Practice Address - Fax:614-766-2507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-14
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020346550-13341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000001072055OtherANTHEM
OHP01799609OtherRAILROAD MEDICARE
OHH485590Medicare PIN