Provider Demographics
NPI:1154599827
Name:GREENFIELD TOWNSHIP TRUSTEES
Entity type:Organization
Organization Name:GREENFIELD TOWNSHIP TRUSTEES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:740-756-4644
Mailing Address - Street 1:PO BOX 638321
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-8321
Mailing Address - Country:US
Mailing Address - Phone:740-756-4644
Mailing Address - Fax:740-756-7880
Practice Address - Street 1:3245 HAVENSPORT RD
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9448
Practice Address - Country:US
Practice Address - Phone:740-756-4644
Practice Address - Fax:740-756-7880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-15
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0427900341600000X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000558337OtherANTHEM
OHP00869012OtherRAILROAD MEDICARE
OH2867250Medicaid
OH000000558337OtherANTHEM