Provider Demographics
NPI:1013906882
Name:ELYRIA TOWNSHIP TRUSTEE
Entity Type:Organization
Organization Name:ELYRIA TOWNSHIP TRUSTEE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:YONKINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-324-2973
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:513-772-4464
Practice Address - Street 1:41416 GRISWOLD RD
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2324
Practice Address - Country:US
Practice Address - Phone:440-324-2973
Practice Address - Fax:440-324-3514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1541275OtherUNITED MINE WORKERS
OH2096495Medicaid
OH000000156042OtherANTHEM BCBS
OH590012557OtherRAILROAD MEDICARE
OH=========002OtherMEDICAL MUTUAL OF OHIO
OH1541275OtherUNITED MINE WORKERS
OH=========00OtherBUREAU OF WORKERS COMP
OH2096495Medicaid