Provider Demographics
NPI:1194758177
Name:TOWNSHIP OF WASHINGTON
Entity type:Organization
Organization Name:TOWNSHIP OF WASHINGTON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:NATHAN
Authorized Official - Last Name:HAAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-876-3740
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9900
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:2239 STATE ROUTE 756
Practice Address - Street 2:
Practice Address - City:MOSCOW
Practice Address - State:OH
Practice Address - Zip Code:45153-9775
Practice Address - Country:US
Practice Address - Phone:513-876-3740
Practice Address - Fax:513-876-4791
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWNSHIP OF WASHINGTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2609743Medicaid
OH000000379728OtherANTHEM
OH310721588OtherTRICARE 4 LIFE
OH310721588026OtherCARESOURCE
OH2609743Medicaid
OH310721588026OtherCARESOURCE
OH310721588OtherTRICARE 4 LIFE