Provider Demographics
NPI:1053300848
Name:CROSBY TOWNSHIP
Entity type:Organization
Organization Name:CROSBY TOWNSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-738-1831
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 1:9139 BAUGHMAN RD
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1701
Practice Address - Country:US
Practice Address - Phone:513-738-1831
Practice Address - Fax:513-738-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2390256Medicaid
OH290480001OtherCARESOURCE
OH000000036818OtherANTHEM BCBS
OH=========OtherTRICARE 4 LIFE
OH000000036818OtherANTHEM BCBS
OH=========002OtherMEDICAL MUTUAL OF OHIO
OH=========00OtherBUREAU OF WORKERS COMP