Provider Demographics
NPI:1649209495
Name:TOWNSHIP OF DELAWARE
Entity type:Organization
Organization Name:TOWNSHIP OF DELAWARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:SPEISER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-899-2404
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 1:10023 THE BEND RD
Practice Address - Street 2:
Practice Address - City:DEFIANCE
Practice Address - State:OH
Practice Address - Zip Code:43512-9710
Practice Address - Country:US
Practice Address - Phone:800-962-1484
Practice Address - Fax:513-772-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0153917Medicaid
OH000000297468OtherANTHEM
OH590015450OtherRAILROAD MEDICARE
OH=========OtherTRICARE 4 LIFE
OH=========00OtherBUREAU OF WORKERS COMP
OH0153917Medicaid
OHH168480Medicare PIN