Provider Demographics
NPI:1699799288
Name:TOWNSHIP EMERGENCY MEDICAL SERVICE INC
Entity type:Organization
Organization Name:TOWNSHIP EMERGENCY MEDICAL SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:PELLIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:330-538-9840
Mailing Address - Street 1:PO BOX 665
Mailing Address - Street 2:10 S SALEM WARREN ROAD
Mailing Address - City:NORTH JACKSON
Mailing Address - State:OH
Mailing Address - Zip Code:44451-0665
Mailing Address - Country:US
Mailing Address - Phone:330-538-9840
Mailing Address - Fax:
Practice Address - Street 1:10 S SALEM WARREN ROAD
Practice Address - Street 2:BOX 665
Practice Address - City:NORTH JACKSON
Practice Address - State:OH
Practice Address - Zip Code:44451-0665
Practice Address - Country:US
Practice Address - Phone:330-538-9840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHTO9363441Medicare ID - Type Unspecified