Organization
MONTVILLE TOWNSHIP TRUSTEES - GEAUGA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JONOVICH (FIRE CHIEF)
(216) 387-5722
Entity
Organization
Contact information
Practice address
9755 MADISON RD, MONTVILLE, OH 44064-8731
(440) 968-3784
(440) 968-3236
Mailing address
P.O. BOX 98, 9755 MADISON ROAD, MONTVILLE, OH 44064-8731
(440) 968-3784
(440) 968-3236
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020517150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155171
BLUE CROSS BLUE SHIELD
OH
Enumeration date
11/06/2006
Last updated
05/13/2013
Update your record
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