Healthcare Provider Details

I. General information

NPI: 1659368421
Provider Name (Legal Business Name): GOSHEN TOWNSHIP BOARD OF TRUSTEES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1886 WALNUT ST
GOSHEN OH
45122-9702
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 513-722-3473
  • Fax: 513-722-3212
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: EDWARD MYERS
Title or Position: CHIEF
Credential:
Phone: 513-722-3473