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Organization

ELYRIA TOWNSHIP TRUSTEE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE DEWITT (FISCAL OFFICER)
(440) 324-2973
Entity
Organization

Contact information

Practice address
41416 GRISWOLD RD, ELYRIA, OH 44035-2324
(440) 324-2973
(440) 324-3514
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000156042
ANTHEM BCBS
OH
01
1541275
UNITED MINE WORKERS
OH
05
2096495
OH
01
590012557
RAILROAD MEDICARE
OH
Enumeration date
10/14/2005
Last updated
08/13/2026
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