Provider Demographics
NPI:1184769275
Name:DEERFIELD TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:DEERFIELD TOWNSHIP TRUSTEES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MILES
Authorized Official - Middle Name:
Authorized Official - Last Name:FEMLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-584-5552
Mailing Address - Street 1:9482 STATE ROUTE 224
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44411
Mailing Address - Country:US
Mailing Address - Phone:330-584-5552
Mailing Address - Fax:330-584-2515
Practice Address - Street 1:9482 STATE ROUTE 224
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:OH
Practice Address - Zip Code:44411-0129
Practice Address - Country:US
Practice Address - Phone:330-584-5552
Practice Address - Fax:330-584-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0539019Medicaid
OH9316971Medicare PIN