Healthcare Provider Details

I. General information

NPI: 1699799288
Provider Name (Legal Business Name): TOWNSHIP EMERGENCY MEDICAL SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 10/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 S SALEM WARREN ROAD BOX 665
NORTH JACKSON OH
44451-0665
US

IV. Provider business mailing address

PO BOX 665 10 S SALEM WARREN ROAD
NORTH JACKSON OH
44451-0665
US

V. Phone/Fax

Practice location:
  • Phone: 330-538-9840
  • Fax:
Mailing address:
  • Phone: 330-538-9840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RICHARD M PELLIN JR.
Title or Position: PRESIDENT
Credential: EMT-I
Phone: 330-538-9840