Provider Demographics
NPI:1710979539
Name:MIFFLIN TOWNSHIP ASHLAND CO
Entity Type:Organization
Organization Name:MIFFLIN TOWNSHIP ASHLAND CO
Other - Org Name:MIFFLIN COMMUNITY VOL FIRE DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BITTINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-368-5127
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 1:114 S OHIO ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-8534
Practice Address - Country:US
Practice Address - Phone:419-368-5127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0210142003416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2405703Medicaid
OH000000284269OtherANTHEM
OH000000284269OtherANTHEM
OH2405703Medicaid