Provider Demographics
NPI:1801224563
Name:TOWNSHIP OF ERIE TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:TOWNSHIP OF ERIE TOWNSHIP TRUSTEES
Other - Org Name:ERIE TOWNSHIP FIRE DEPT AND EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:TORIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-341-3672
Mailing Address - Street 1:PO BOX 312
Mailing Address - Street 2:
Mailing Address - City:LACARNE
Mailing Address - State:OH
Mailing Address - Zip Code:43439-0312
Mailing Address - Country:US
Mailing Address - Phone:419-341-3672
Mailing Address - Fax:
Practice Address - Street 1:5585 W. HARBOR ROAD
Practice Address - Street 2:
Practice Address - City:LACARNE
Practice Address - State:OH
Practice Address - Zip Code:43452
Practice Address - Country:US
Practice Address - Phone:419-635-2820
Practice Address - Fax:419-635-2834
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWNSHIP OF ERIE TOWNSHIP TRUSTEES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-16
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH020362200341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0112405Medicaid
OHP01712079OtherRR MEDICARE
OH=========00OtherBWC
OHP01712079OtherRR MEDICARE
OH=========OtherBCBS