Provider Demographics
NPI:1780672535
Name:SPRINGFIELD TOWNSHIP TRUSTEES
Entity Type:Organization
Organization Name:SPRINGFIELD TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:T
Authorized Official - Last Name:PHILIBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-542-2377
Mailing Address - Street 1:3475 EAST SOUTH RANGE ROAD SPRINGFIELD TWP
Mailing Address - Street 2:
Mailing Address - City:NEW SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44443-0197
Mailing Address - Country:US
Mailing Address - Phone:330-542-2377
Mailing Address - Fax:
Practice Address - Street 1:3475 EAST SOUTH RANGE ROAD SPRINGFIELD TWP
Practice Address - Street 2:
Practice Address - City:NEW SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:44443-0197
Practice Address - Country:US
Practice Address - Phone:330-542-2377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2184014Medicaid
OH2184014Medicaid