Organization
TOWNSHIP OF ERIE TOWNSHIP TRUSTEES
Active
Other names
ERIE TOWNSHIP FIRE DEPT AND EMS
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L HOLCOMB (FISCAL OFFICER)
(419) 635-2010
Entity
Organization
Contact information
Practice address
5585 W HARBOR RD, PORT CLINTON, OH 43452
(419) 635-2820
(419) 635-2834
Mailing address
PO BOX 312, LACARNE, OH 43439-0312
(419) 635-2010
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
020362200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112405
—
OH
01
—
=========
BCBS
OH
01
—
P01712079
RR MEDICARE
OH
Enumeration date
10/16/2013
Last updated
10/22/2024
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