Provider Demographics
NPI:1164420089
Name:HUNTINGTON TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:HUNTINGTON TOWNSHIP TRUSTEES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:NAKOA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-515-4261
Mailing Address - Street 1:836 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1407
Mailing Address - Country:US
Mailing Address - Phone:304-521-1576
Mailing Address - Fax:304-521-1576
Practice Address - Street 1:240 BUDIG DR
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:OH
Practice Address - Zip Code:45101-9346
Practice Address - Country:US
Practice Address - Phone:937-795-0013
Practice Address - Fax:937-795-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416L0300X
OH62-0427851341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH=========OtherTRICARE
OH=========OtherCARESOURCE
KY55000103Medicaid
OH000000494926OtherANTHEM
OH202066Medicaid
OH590011936OtherRAILROAD MEDICARE
OH=========OtherOH WORKERS COMP
OH311313156OtherUMWA