1225146814 NPI number — HARLAN TOWNSHIP TRUSTEES

Table of content: (NPI 1225146814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225146814 NPI number — HARLAN TOWNSHIP TRUSTEES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARLAN TOWNSHIP TRUSTEES
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:
Provider Other Organization Name Type Code:
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:
1225146814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10361 SPARTAN DR
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:
45215-1220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-962-1484
Provider Business Mailing Address Fax Number:
513-772-4464

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9120 MORROW-ROSSBURG RD.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLEASANT PLAIN
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45162
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-877-2727
Provider Business Practice Location Address Fax Number:
513-877-2728
Provider Enumeration Date:
08/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MITTEN
Authorized Official First Name:
PAUL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
513-877-2727

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3160057700 . This is a "BUREAU OF WORKERS COMP" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 000000308830 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".