1700905841 NPI number — VILLAGE OF NORTHFIELD

Table of content: (NPI 1700905841)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700905841 NPI number — VILLAGE OF NORTHFIELD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VILLAGE OF NORTHFIELD
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:
1700905841
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10455 NORTHFIELD ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHFIELD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44067
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-467-7139
Provider Business Mailing Address Fax Number:
330-467-7152

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10455 NORTHFIELD ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NORTHFIELD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-467-7139
Provider Business Practice Location Address Fax Number:
330-467-7152
Provider Enumeration Date:
03/28/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BUSS
Authorized Official First Name:
JASON
Authorized Official Middle Name:
L
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
330-523-9422

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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