Organization
CANAAN TOWNSHIP TRUSTEES
Active
Other names
CANAAN TOWNSHIP FIRE DEPARTMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRANDON SMITH (CHIEF)
(330) 435-0112
Entity
Organization
Contact information
Practice address
209 S MAIN ST, CRESTON, OH 44217-9400
(330) 435-6566
(330) 435-6566
Mailing address
PO BOX 2223, CRESTON, OH 44217-2223
(330) 435-0112
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
021770500
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155963
BCBS
OH
05
—
228571
—
OH
01
—
590014652
RR MEDICARE
OH
Enumeration date
08/31/2006
Last updated
02/27/2020
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