Healthcare Provider Details

I. General information

NPI: 1710979539
Provider Name (Legal Business Name): MIFFLIN TOWNSHIP ASHLAND CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 11/12/2025
Certification Date: 11/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 S OHIO ST
ASHLAND OH
44805-8534
US

IV. Provider business mailing address

1167 COUNTY ROAD 30A
ASHLAND OH
44805-9424
US

V. Phone/Fax

Practice location:
  • Phone: 419-368-5127
  • Fax:
Mailing address:
  • Phone: 419-368-5127
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number021014200
License Number StateOH

VIII. Authorized Official

Name: JAMES BITTINGER
Title or Position: CHIEF
Credential:
Phone: 419-368-5127