Provider Demographics
NPI:1184452690
Name:VILLAGE OF NEW MIDDLETOWN
Entity type:Organization
Organization Name:VILLAGE OF NEW MIDDLETOWN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:INGOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-507-1534
Mailing Address - Street 1:PO BOX 463
Mailing Address - Street 2:
Mailing Address - City:NEW MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44442-0463
Mailing Address - Country:US
Mailing Address - Phone:330-507-1534
Mailing Address - Fax:
Practice Address - Street 1:10711 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:44442-8763
Practice Address - Country:US
Practice Address - Phone:330-507-1534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance