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Organization
PAXTON TOWNSHIP TTEES
Active
Organization
PAXTON TOWNSHIP TTEES
Active
Other names
Paxton Township Area Life Squad
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY METTLER (FISCAL OFFICER)
(740) 634-3241
Entity
Organization
Contact information
Practice address
202 S MOUNTAIN ST, BAINBRIDGE, OH 45612-1135
(740) 634-3307
Mailing address
10361 SPARTAN DR, CINCINNATI, OH 45215-1220
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
020323250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297651
ANTHEM
OH
05
—
2435225
—
OH
01
—
P00121690
RAILROAD MEDICARE
OH
Enumeration date
08/18/2005
Last updated
11/02/2016
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