Healthcare Provider Details

I. General information

NPI: 1417936345
Provider Name (Legal Business Name): GREEN TWP TRUSTEES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2006
Last Update Date: 01/08/2026
Certification Date: 01/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6215 SPRINGFIELD XENIA RD
SPRINGFIELD OH
45502-8142
US

IV. Provider business mailing address

PO BOX 2065
MOUNT VERNON OH
43050-7265
US

V. Phone/Fax

Practice location:
  • Phone: 937-324-3031
  • Fax: 937-322-4107
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-527-0659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02031285013
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: BRADLEY MCKEE
Title or Position: FISCAL OFFICER
Credential:
Phone: 937-206-9539