Provider Demographics
NPI:1851087399
Name:CITY OF EAST LIVERPOOL
Entity Type:Organization
Organization Name:CITY OF EAST LIVERPOOL
Other - Org Name:EAST LIVERPOOL FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CITY AUDITOR
Authorized Official - Prefix:
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-385-4224
Mailing Address - Street 1:626 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-3077
Mailing Address - Country:US
Mailing Address - Phone:330-385-1117
Mailing Address - Fax:
Practice Address - Street 1:626 SAINT CLAIR AVE
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-3077
Practice Address - Country:US
Practice Address - Phone:330-385-1117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF EAST LIVERPOOL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-17
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport