Healthcare Provider Details

I. General information

NPI: 1861546541
Provider Name (Legal Business Name): TOWNSHIP OF LAGRANGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 05/22/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 PUBLIC SQUARE
LAGRANGE OH
44050-9014
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 440-355-6868
  • Fax: 440-355-6277
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: TODD B STRAUB
Title or Position: ASST. CHIEF-EMS
Credential: EMT-P
Phone: 440-355-6868