MEDICARE: HARLAN TOWNSHIP TRUSTEES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000308830	OTHER	OH	ANTHEM
2	3160057700	OTHER	OH	BUREAU OF WORKERS COMP

General Provider Information

NPI Number	:	1225146814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARLAN TOWNSHIP TRUSTEES

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	9120 MORROW-ROSSBURG RD.
Second Line	:
City	:	PLEASANT PLAIN
State	:	OH
Zip	:	45162
Country	:	US
Telephone Number	:	513-877-2727
Fax Number	:	513-877-2728

Authorized Official
Title or Position	:	CHIEF
Name	:	STEPHEN PEGRAM
Credential	:
Telephone Number	:	513-877-2727

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/28/2025

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