Provider Demographics
NPI:1235297086
Name:VILLAGE OF PAYNE
Entity type:Organization
Organization Name:VILLAGE OF PAYNE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:STABLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-263-2514
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 1:201 N LAURA ST
Practice Address - Street 2:
Practice Address - City:PAYNE
Practice Address - State:OH
Practice Address - Zip Code:45880-9089
Practice Address - Country:US
Practice Address - Phone:419-263-2514
Practice Address - Fax:419-263-3426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200494340AOtherINDIANA HEALTH COVERAGE P
OH590011799OtherRAILROAD MEDICARE
OH0211185Medicaid
OH9129391Medicare ID - Type Unspecified