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1790368595 NPI number — JACKSON TOWNSHIP TUSTEES

NPI Number: 1790368595
Health Care Provider/Practitioner: JACKSON TOWNSHIP TUSTEES

Information about “1790368595” NPI (JACKSON TOWNSHIP TUSTEES) exists in 1790368595 in HTML format HTML  |  1790368595 in plain Text format TXT  |  1790368595 in PDF (Portable Document Format) PDF  |  1790368595 in an XML format XML  formats.

NPI Number : 1790368595 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1790368595",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "JACKSON TOWNSHIP TUSTEES",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 205",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTH JACKSON",
    "MailingAddressStateName": "OH",
    "MailingAddressPostalCode": "44451-0205",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "330-538-3093",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "229 N SALEM WARREN RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORTH JACKSON",
    "PracticeLocationAddressStateName": "OH",
    "PracticeLocationAddressPostalCode": "44451",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "330-538-2087",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/30/2021",
    "LastUpdateDate": "08/26/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MORTIMER",
    "AuthorizedOfficialFirstName": "MICHAEL",
    "AuthorizedOfficialMiddleName": "C",
    "AuthorizedOfficialTitle": "EMS BATTALION CHIEF",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "EMT-B",
    "AuthorizedOfficialTelephoneNumber": "330-240-5458",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "341600000X",
        "TaxonomyName": "Ambulance",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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