MEDICARE: SPRINGFIELD TOWNSHIP TRUSTEES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00412953	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000000321456	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497755607
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPRINGFIELD TOWNSHIP TRUSTEES

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	2777 SPRINGFIELD XENIA RD
Second Line	:
City	:	SPRINGFIELD
State	:	OH
Zip	:	45506-3917
Country	:	US
Telephone Number	:	937-324-4571
Fax Number	:	937-324-0771

Authorized Official
Title or Position	:	TRUSTEE
Name	:	TIMOTHY FOLEY
Credential	:
Telephone Number	:	937-324-4571

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	05/17/2024

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Directions to “SPRINGFIELD TOWNSHIP TRUSTEES ” Practice Location

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