MEDICARE: BOKESCREEK TOWNSHIP TRUSTEES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

General Provider Information

NPI Number	:	1801913579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOKESCREEK TOWNSHIP TRUSTEES

Provider Business Mailing Address
First Line	:	7210 COUNTY ROAD 117
Second Line	:
City	:	RIDGEWAY
State	:	OH
Zip	:	43345-9520
Country	:	US
Telephone Number	:	419-306-9880
Fax Number	:

Provider Business Practice Location Address
First Line	:	238 HIGHLAND STREET
Second Line	:
City	:	WEST MANSFIELD
State	:	OH
Zip	:	43358
Country	:	US
Telephone Number	:	937-363-3544
Fax Number	:

Authorized Official
Title or Position	:	FISCAL OFFICER
Name	:	JENNIFER A WRIGHT
Credential	:
Telephone Number	:	419-306-9880

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	10/25/2022

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