Provider Demographics
NPI:1801883624
Name:CITY OF COLUMBIANA
Entity type:Organization
Organization Name:CITY OF COLUMBIANA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:CITY FINANCE DIRECTO
Authorized Official - Phone:330-482-2484
Mailing Address - Street 1:28 W. FRIEND STREET
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408
Mailing Address - Country:US
Mailing Address - Phone:330-482-6191
Mailing Address - Fax:330-482-6203
Practice Address - Street 1:28 W FRIEND ST
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:OH
Practice Address - Zip Code:44408-1291
Practice Address - Country:US
Practice Address - Phone:330-482-6191
Practice Address - Fax:330-482-6203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0657598Medicaid
OH0657598Medicaid
OH9222031Medicare PIN