Provider Demographics
NPI:1780702555
Name:ROOTSTOWN TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:ROOTSTOWN TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-325-7233
Mailing Address - Street 1:4152 TALLMADGE RD
Mailing Address - Street 2:
Mailing Address - City:ROOTSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44272-9241
Mailing Address - Country:US
Mailing Address - Phone:330-325-7233
Mailing Address - Fax:330-325-8373
Practice Address - Street 1:4152 TALLMADGE RD
Practice Address - Street 2:
Practice Address - City:ROOTSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44272-9241
Practice Address - Country:US
Practice Address - Phone:330-325-7233
Practice Address - Fax:330-325-8373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2401912Medicaid
OH2401912Medicaid