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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
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