Provider Demographics
NPI:1730207671
Name:LITCHFIELD TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:LITCHFIELD TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:TEODECKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-667-2207
Mailing Address - Street 1:9254 NORWALK
Mailing Address - Street 2:P. O. BOX 178
Mailing Address - City:LITCHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44253
Mailing Address - Country:US
Mailing Address - Phone:330-667-2207
Mailing Address - Fax:330-723-6969
Practice Address - Street 1:9254 NORWALK
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44253
Practice Address - Country:US
Practice Address - Phone:330-667-2207
Practice Address - Fax:330-723-6969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLI9360161Medicare ID - Type Unspecified