Provider Demographics
NPI:1003812983
Name:CITY OF EAST PALESTINE OFFICE OF TREASURER
Entity type:Organization
Organization Name:CITY OF EAST PALESTINE OFFICE OF TREASURER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VILLAGE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ-GUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-426-4367
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9907
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:75 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST PALESTINE
Practice Address - State:OH
Practice Address - Zip Code:44413-2009
Practice Address - Country:US
Practice Address - Phone:330-426-4341
Practice Address - Fax:330-426-7063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0320450-098093416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000155975OtherANTHEM
OH0695476Medicaid
OH590004802OtherRAILROAD MEDICARE
OH0695476Medicaid