Healthcare Provider Details

I. General information

NPI: 1306846811
Provider Name (Legal Business Name): BETHEL TOWNSHIP TRUSTEES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 LAKE RD
MEDWAY OH
45341-9742
US

IV. Provider business mailing address

PO BOX 645598
PITTSBURGH PA
15264-5253
US

V. Phone/Fax

Practice location:
  • Phone: 937-849-1556
  • Fax: 937-845-9313
Mailing address:
  • Phone: 866-631-4551
  • Fax: 937-291-2971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02030965013
License Number StateOH

VIII. Authorized Official

Name: JAMES SNYDER
Title or Position: CHIEF
Credential:
Phone: 937-849-1556