Provider Demographics
NPI:1972850451
Name:BERLIN TWP
Entity Type:Organization
Organization Name:BERLIN TWP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEPPEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-509-1158
Mailing Address - Street 1:P. O. BOX 186
Mailing Address - Street 2:
Mailing Address - City:BERLIN CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:44401-0186
Mailing Address - Country:US
Mailing Address - Phone:330-509-1158
Mailing Address - Fax:330-547-2327
Practice Address - Street 1:15801 W. AKRON CANFIELD ROAD
Practice Address - Street 2:
Practice Address - City:BERLIN CENTER
Practice Address - State:OH
Practice Address - Zip Code:44440-0095
Practice Address - Country:US
Practice Address - Phone:330-509-1158
Practice Address - Fax:330-547-2327
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance