Healthcare Provider Details

I. General information

NPI: 1558307652
Provider Name (Legal Business Name): EAST UNION TOWNSHIP TRUSTEES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 12/09/2022
Certification Date: 12/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 S APPLE CREEK RD
APPLE CREEK OH
44606
US

IV. Provider business mailing address

PO BOX 222
APPLE CREEK OH
44606-0222
US

V. Phone/Fax

Practice location:
  • Phone: 330-698-1371
  • Fax: 330-682-2287
Mailing address:
  • Phone: 330-698-1371
  • Fax: 330-698-0103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number020738400 10337
License Number StateOH

VIII. Authorized Official

Name: VALORIE L LEWIS
Title or Position: FISCAL OFFICER
Credential:
Phone: 330-698-0103