LAKE TWP OFFICE OF CLERK; NPI #1700984515

Contact Information

LAKE TWP OFFICE OF CLERK

27975 CUMMINS RD
MILLBURY, OH 43447

Phone: 419-838-6536
Fax: 419-838-6732
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulance	341600000X	59	Ambulance Service Provider
Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LAKE TWP OFFICE OF CLERK

NPI # 1700984515

LBN Legal business name LAKE TWP OFFICE OF CLERK

Authorized official BUDDY RITSON - (FISCAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/20/2006

Last updated 04/20/2020 - About 6 years ago

Identifiers

OH	License #	02-1054801
OH	Medicaid	0418864
OH	Other	P00086247	RR MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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