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NPI Code Detail

MEDICARE: TOWNSHIP OF MONROE TRUSTEES

MEDICARE: TOWNSHIP OF MONROE 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
1341600000XAmbulance02-1097400 08972OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598708422
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWNSHIP OF MONROE TRUSTEES
Provider Business Mailing Address
First Line : 43 S UNION ST
Second Line :
City : LUCAS
State : OH
Zip : 44843-9565
Country : US
Telephone Number : 419-892-2200
Fax Number : 419-892-2200
Provider Business Practice Location Address
First Line : 43 S UNION ST
Second Line :
City : LUCAS
State : OH
Zip : 44843-9565
Country : US
Telephone Number : 419-892-2200
Fax Number : 419-892-2200
Authorized Official
Title or Position : AUTHORIZED AGENT
Name : MS. MARY T GENTILE
Credential :
Telephone Number : 860-257-7080
Provider Enumeration Date : 06/14/2006
Last Update Date : 12/04/2007

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1487605283 — MR. JOHN ROBERT JOHNSON CRNA
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1578514337 — DAVID M GRAHAM CRNA
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1518918242 — DARLENE RUDRICK CRNA
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1659302255 — CARL R GEORGE CRNA
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Directions to “TOWNSHIP OF MONROE TRUSTEES ” Practice Location

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