Provider Demographics
NPI:1962402115
Name:CITY OF RITTMAN
Entity type:Organization
Organization Name:CITY OF RITTMAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BESHARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-925-2045
Mailing Address - Street 1:PO BOX 2122
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48193-1122
Mailing Address - Country:US
Mailing Address - Phone:330-925-2045
Mailing Address - Fax:734-479-6319
Practice Address - Street 1:25 N STATE ST
Practice Address - Street 2:
Practice Address - City:RITTMAN
Practice Address - State:OH
Practice Address - Zip Code:44270-1584
Practice Address - Country:US
Practice Address - Phone:330-925-2063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH080482100OtherFEDERAL BLACK LUNG
OH000000156020OtherANTHEM
OH0449938Medicaid
OH000000156020OtherANTHEM
OH=========007OtherMEDICAL MUTUAL
OH0449938Medicaid