Provider Demographics
NPI:1770640823
Name:JOHNSTON TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:JOHNSTON TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:L
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-240-4115
Mailing Address - Street 1:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44410-0639
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:4424 GREENVILLE RD
Practice Address - Street 2:
Practice Address - City:FARMDALE
Practice Address - State:OH
Practice Address - Zip Code:44417-9747
Practice Address - Country:US
Practice Address - Phone:330-924-2895
Practice Address - Fax:330-924-5101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-01
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9224651Medicare PIN