Provider Demographics
NPI:1235139445
Name:WEST CHESTER TOWNSHIP TRUSTEE
Entity Type:Organization
Organization Name:WEST CHESTER TOWNSHIP TRUSTEE
Other - Org Name:WEST CHESTER TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:PRINZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-759-7241
Mailing Address - Street 1:PO BOX 181193
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45018-1193
Mailing Address - Country:US
Mailing Address - Phone:855-626-9660
Mailing Address - Fax:833-953-0588
Practice Address - Street 1:9119 CINCINNATI DAYTON RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-3840
Practice Address - Country:US
Practice Address - Phone:513-777-5900
Practice Address - Fax:513-777-1157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0329850341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000321465OtherANTHEM
OH2456757Medicaid
OHP00073300OtherRAILROAD MEDICARE
OH9339391Medicare PIN