Healthcare Provider Details

I. General information

NPI: 1134244262
Provider Name (Legal Business Name): TOWNSHIP OF ATWATER TOWNSHIP TRUSTEES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6570 WATERLOO RD
ATWATER OH
44201-9508
US

IV. Provider business mailing address

6570 WATERLOO RD
ATWATER OH
44201-9508
US

V. Phone/Fax

Practice location:
  • Phone: 330-947-2323
  • Fax: 330-947-1730
Mailing address:
  • Phone: 330-947-2323
  • Fax: 330-947-1730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. MELVIN L RUSSELL
Title or Position: FIRE CHIEF
Credential:
Phone: 330-947-2323