Provider Demographics
NPI:1497755607
Name:SPRINGFIELD TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:SPRINGFIELD TOWNSHIP TRUSTEES
Other - Org Name:SPRINGFIELD TWP FIRE DEPT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-324-4571
Mailing Address - Street 1:10361 SPARTAN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1220
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:2777 SPRINGFIELD XENIA RD
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45506-3917
Practice Address - Country:US
Practice Address - Phone:937-324-4571
Practice Address - Fax:937-324-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00412953OtherRAILROAD MEDICARE
OH2460402Medicaid
OH000000321456OtherANTHEM
OH000000321456OtherANTHEM