NPI Code Details Logo

NPI 1104862168

NPI 1104862168 : GASPER TWP TRUSTEES : EATON, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1104862168
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    GASPER TWP TRUSTEES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/20/2006
-----------------------------------------------------
    Last Update Date     |    07/10/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4195 PAINT CREEK RD 
-----------------------------------------------------
    City                 |    EATON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45320-9385
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-962-1484
-----------------------------------------------------
    Fax                  |    513-772-4464
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4195 PAINT CREEK RD 
-----------------------------------------------------
    City                 |    EATON
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    45320-9385
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    877-200-1191
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    AUTHORIZED OFFICIAL
-----------------------------------------------------
    Name                 |     ANDREW  GEORGE 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    937-472-0100
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    341600000X
-----------------------------------------------------
    Taxonomy Name        |    Ambulance
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.