=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053303578
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SANDUSKY CITY OFFICE OF TREASURER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2005
-----------------------------------------------------
Last Update Date | 05/24/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 600 W MARKET ST
-----------------------------------------------------
City | SANDUSKY
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44870-2412
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-627-5848
-----------------------------------------------------
Fax | 419-627-5820
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 392907
-----------------------------------------------------
City | PITTSBURGH
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15251-9907
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-627-5888
-----------------------------------------------------
Fax | 419-627-5892
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FISCAL OFFICER
-----------------------------------------------------
Name | MICHELLE REEDER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-627-5776
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------