Provider Demographics
NPI:1780801340
Name:VALLEY VIEW TOWN HALL
Entity type:Organization
Organization Name:VALLEY VIEW TOWN HALL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSCIELSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-524-6469
Mailing Address - Street 1:6848 HATHAWAY RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY VIEW
Mailing Address - State:OH
Mailing Address - Zip Code:44125-4767
Mailing Address - Country:US
Mailing Address - Phone:216-524-6469
Mailing Address - Fax:216-524-9364
Practice Address - Street 1:6895 HATHAWAY ROAD
Practice Address - Street 2:
Practice Address - City:VALLEY VIEW
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:216-524-6469
Practice Address - Fax:216-524-9364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2330534Medicaid
OH2330534Medicaid