Provider Demographics
NPI:1154311702
Name:TOWNSHIP OF MONROE
Entity type:Organization
Organization Name:TOWNSHIP OF MONROE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:FORDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-734-0847
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9907
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:2828 STATE ROUTE 222
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:OH
Practice Address - Zip Code:45106-9521
Practice Address - Country:US
Practice Address - Phone:513-734-0847
Practice Address - Fax:513-734-1279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000355118OtherANTHEM BCBS
OH2523139Medicaid
OH000000355118OtherANTHEM BCBS
OH2523139Medicaid
OH=========OtherTRICARE 4 LIFE