Provider Demographics
NPI:1477618601
Name:BRIMFIELD TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:BRIMFIELD TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-678-9244
Mailing Address - Street 1:1333 TALLMADGE RD
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-6662
Mailing Address - Country:US
Mailing Address - Phone:330-678-9244
Mailing Address - Fax:330-678-4234
Practice Address - Street 1:1333 TALLMADGE RD
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-6662
Practice Address - Country:US
Practice Address - Phone:330-678-9244
Practice Address - Fax:330-678-4234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0590981Medicaid
OHBR9182211Medicare ID - Type Unspecified