Provider Demographics
NPI:1407009012
Name:JEFFERSON TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:JEFFERSON TOWNSHIP TRUSTEES
Other - Org Name:JEFFERSON TOWNSHIP FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SNYDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-879-8265
Mailing Address - Street 1:PO BOX L-3209
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43260-0001
Mailing Address - Country:US
Mailing Address - Phone:614-879-8265
Mailing Address - Fax:614-879-8267
Practice Address - Street 1:745 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST JEFFERSON
Practice Address - State:OH
Practice Address - Zip Code:43162-1139
Practice Address - Country:US
Practice Address - Phone:614-879-8265
Practice Address - Fax:614-879-8265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0324500341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2937488Medicaid
OHP00806512OtherRAILROAD MEDICARE
OH000000622211OtherANTHEM
OH9380601Medicare PIN