Provider Demographics
NPI:1588878235
Name:THORN TWP
Entity type:Organization
Organization Name:THORN TWP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:WEEKLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-246-6735
Mailing Address - Street 1:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:THORNVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43076-0419
Mailing Address - Country:US
Mailing Address - Phone:740-246-6735
Mailing Address - Fax:740-587-1362
Practice Address - Street 1:13770 ZION RD
Practice Address - Street 2:
Practice Address - City:THORNVILLE
Practice Address - State:OH
Practice Address - Zip Code:43076-2517
Practice Address - Country:US
Practice Address - Phone:740-246-6735
Practice Address - Fax:740-587-1362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2370321Medicaid
OH000000276914OtherANTHEM
OH000000276914OtherANTHEM
OH2370321Medicaid