Healthcare Provider Details

I. General information

NPI: 1114180049
Provider Name (Legal Business Name): HAMILTON TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2008
Last Update Date: 01/16/2024
Certification Date: 07/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 OBETZ RD
COLUMBUS OH
43207-4477
US

IV. Provider business mailing address

PO BOX 772665
DETROIT MI
48277-2665
US

V. Phone/Fax

Practice location:
  • Phone: 614-491-1042
  • Fax: 833-953-0588
Mailing address:
  • Phone: 855-626-9660
  • Fax: 833-953-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02-0309601
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: THOMAS FERRELL
Title or Position: ASSISTANCE CHIEF
Credential:
Phone: 614-491-1042