Provider Demographics
NPI:1780746594
Name:RICHLAND TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:RICHLAND TOWNSHIP TRUSTEES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PENNY
Authorized Official - Middle Name:E
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-651-2816
Mailing Address - Street 1:PO BOX 306
Mailing Address - Street 2:
Mailing Address - City:GLENMONT
Mailing Address - State:OH
Mailing Address - Zip Code:44628-0306
Mailing Address - Country:US
Mailing Address - Phone:330-377-4072
Mailing Address - Fax:330-377-4080
Practice Address - Street 1:502 CLIFTON ST
Practice Address - Street 2:
Practice Address - City:GLENMONT
Practice Address - State:OH
Practice Address - Zip Code:44628
Practice Address - Country:US
Practice Address - Phone:330-377-4072
Practice Address - Fax:234-595-0025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH021121300OtherBOARD OF PHARMACY
OH0114870Medicaid