Provider Demographics
NPI:1477140499
Name:GREENE COUNTY TRANSIT BOARD
Entity Type:Organization
Organization Name:GREENE COUNTY TRANSIT BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:D
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-708-8328
Mailing Address - Street 1:2380 BELLBROOK AVE STE A
Mailing Address - Street 2:
Mailing Address - City:XENIA
Mailing Address - State:OH
Mailing Address - Zip Code:45385-4066
Mailing Address - Country:US
Mailing Address - Phone:937-708-8322
Mailing Address - Fax:
Practice Address - Street 1:2380 BELLBROOK AVE STE A
Practice Address - Street 2:
Practice Address - City:XENIA
Practice Address - State:OH
Practice Address - Zip Code:45385-4066
Practice Address - Country:US
Practice Address - Phone:937-708-8322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-23
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)