Provider Demographics
NPI:1851320683
Name:COLERAIN TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:COLERAIN TOWNSHIP TRUSTEES
Other - Org Name:COLERAIN TOWNSHIP DEPARTMENT OF FIRE AND EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CAPTAIN, EMS OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:WILHELM
Authorized Official - Middle Name:K
Authorized Official - Last Name:MUELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-923-5045
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:3251 SPRINGDALE RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-1505
Practice Address - Country:US
Practice Address - Phone:513-825-6143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000215486OtherANTHEM
OH2340023Medicaid
OH590015242OtherRAILROAD MEDICARE
OH000000215486OtherANTHEM
OH590015242OtherRAILROAD MEDICARE
OH2340023Medicaid
OH=========OtherTRICARE 4 LIFE