1083755839 NPI number — MAUMEE CITY OFFICE OF CLERK

Table of content: (NPI 1083755839)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083755839 NPI number — MAUMEE CITY OFFICE OF CLERK

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MAUMEE CITY OFFICE OF CLERK
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CITY OF MAUMEE AMBULANCE DIVISION
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083755839
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
06/20/2023
NPI Reactivation Date:
08/14/2023

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 636979
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-6979
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-626-9660
Provider Business Mailing Address Fax Number:
833-953-0588

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
220 ILLINOIS AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAUMEE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43537-2161
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-897-7124
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HARKEY
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
FINANCE DIRECTOR
Authorized Official Telephone Number:
224-315-6904

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 341600000X , with the licence number: FCY.020300200-13 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0243847 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590175396 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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