Provider Demographics
NPI:1265429039
Name:SYCAMORE TOWNSHIP
Entity type:Organization
Organization Name:SYCAMORE TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROB
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-792-8565
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9907
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:8540 KENWOOD RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2010
Practice Address - Country:US
Practice Address - Phone:513-792-8565
Practice Address - Fax:513-792-8564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH272130001OtherCARESOURCE
OH000000021593OtherANTHEM BCBS
OH0459598Medicaid
OH590010315OtherRAILROAD MEDICARE
OH272130001OtherCARESOURCE
OH0459598Medicaid
OH=========OtherTRICARE 4 LIFE
OH=========00OtherBUREAU OF WORKERS COMP