Provider Demographics
NPI:1760549679
Name:TOWNSHIP OF PALMYRA TRUSTEES
Entity Type:Organization
Organization Name:TOWNSHIP OF PALMYRA TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:330-654-4098
Mailing Address - Street 1:3956 STATE ROUTE 225
Mailing Address - Street 2:
Mailing Address - City:DIAMOND
Mailing Address - State:OH
Mailing Address - Zip Code:44412-9757
Mailing Address - Country:US
Mailing Address - Phone:330-654-4098
Mailing Address - Fax:330-654-4973
Practice Address - Street 1:3956 STATE ROUTE 225
Practice Address - Street 2:
Practice Address - City:DIAMOND
Practice Address - State:OH
Practice Address - Zip Code:44412-9757
Practice Address - Country:US
Practice Address - Phone:330-654-4098
Practice Address - Fax:330-654-4973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport