Provider Demographics
NPI:1487606471
Name:SPRINGFIELD TOWNSHIP TRUSTEE
Entity type:Organization
Organization Name:SPRINGFIELD TOWNSHIP TRUSTEE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-794-1739
Mailing Address - Street 1:2454 E WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-3209
Mailing Address - Country:US
Mailing Address - Phone:330-784-7210
Mailing Address - Fax:330-794-2805
Practice Address - Street 1:2454 E WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-3209
Practice Address - Country:US
Practice Address - Phone:330-784-7210
Practice Address - Fax:330-794-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2013-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSP9227541Medicare PIN