Provider Demographics
NPI:1417159021
Name:ELIZABETH TOWNSHIP BOARD OF TRUSTEES
Entity type:Organization
Organization Name:ELIZABETH TOWNSHIP BOARD OF TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARCHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-418-6449
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 1:2287 S CHILDRENS HOME RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:OH
Practice Address - Zip Code:45373-9652
Practice Address - Country:US
Practice Address - Phone:800-962-1484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P01042823OtherRAILROAD MEDICARE
OH000000573092OtherANTHEM BCBS
OH2905477Medicaid
P01042823OtherRAILROAD MEDICARE