Healthcare Provider Details

I. General information

NPI: 1679565311
Provider Name (Legal Business Name): WAYNE TOWNSHIP TRUSTEES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2005
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 FRANKLIN RD
WAYNESVILLE OH
45068-3400
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 513-897-3010
  • Fax:
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number020980950
License Number StateOH

VIII. Authorized Official

Name: JASON W BECKETT
Title or Position: CHIEF
Credential:
Phone: 513-897-3010