Provider Demographics
NPI:1154317212
Name:CITY OF SPRINGDALE
Entity Type:Organization
Organization Name:CITY OF SPRINGDALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:EMT - P
Authorized Official - Phone:513-346-6558
Mailing Address - Street 1:PO BOX 706236
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45270-6263
Mailing Address - Country:US
Mailing Address - Phone:614-987-2011
Mailing Address - Fax:614-987-1989
Practice Address - Street 1:12147 LAWNVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:OH
Practice Address - Zip Code:45246-3016
Practice Address - Country:US
Practice Address - Phone:513-346-5580
Practice Address - Fax:513-346-5599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0969902Medicaid
OH154260001OtherCARESOURCE
OH590007492OtherRAILROAD MEDICARE
OH000000021409OtherANTHEM BCBS
OH=========OtherTRICARE 4 LIFE
OH=========00OtherBUREAU OF WORKERS COMP
OH0969902Medicaid
OH590007492OtherRAILROAD MEDICARE