Copley Township Board of Ttees

Organization Active NPI Ambulance · Copley, OH

NPI 1023175486 · NPPES record last updated Jun 4, 2009

Key facts

NPI
1023175486
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
Legal business name
COPLEY TOWNSHIP BOARD OF TTEES
Practice address
1540 S Cleveland Massillon Rd
Copley, OH 44321-1908
Phone
(330) 666-1853
Fax
(330) 666-5691
NPI assigned
Jan 3, 2007
Organization subpart
No

Authorized official

Name
Ms. Janice Marshall
Title
Fiscal Officer
Phone
(330) 666-1853

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040819001654 OH Part B Supplier - Ambulance Service Supplier 5395719074 Practice locations: Copley, OH

National Provider Directory

Locations

1260 Sunset Dr
Copley, OH 44321
Phone (330) 666-6464

1540 S Cleveland Massillon Rd
Copley, OH 44321
Phone (330) 666-1853

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Yes

Addresses

Primary practice location

1540 S Cleveland Massillon Rd
Copley, OH 44321-1908

Mailing address

1540 S Cleveland Massillon Rd
Copley, OH 44321-1908
Phone (330) 666-1853

Other providers in Copley, OH

All providers in Copley, OH · Ambulance in Ohio

Sources for this page

Verify at the official NPI Registry.