Provider Demographics
NPI:1992911093
Name:RAVENNA TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:RAVENNA TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-297-2192
Mailing Address - Street 1:6115 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:RAVENNA
Mailing Address - State:OH
Mailing Address - Zip Code:44266-1335
Mailing Address - Country:US
Mailing Address - Phone:330-297-2192
Mailing Address - Fax:330-297-2194
Practice Address - Street 1:6115 SPRING ST
Practice Address - Street 2:
Practice Address - City:RAVENNA
Practice Address - State:OH
Practice Address - Zip Code:44266-1335
Practice Address - Country:US
Practice Address - Phone:330-297-2192
Practice Address - Fax:330-297-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0105979Medicaid
OH0105979Medicaid