# PAXTON TOWNSHIP TTEES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Paxton Township Area Life Squad
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194717835
- **Authorized official:** VICKY METTLER (FISCAL OFFICER)
- **Authorized official phone:** (740) 634-3241

## Contact information

- **Practice address:** 202 S MOUNTAIN ST, BAINBRIDGE, OH 45612-1135
- **Practice address phone:** (740) 634-3307
- **Mailing address:** 10361 SPARTAN DR, CINCINNATI, OH 45215-1220
- **Mailing address phone:** (800) 962-1484
- **Mailing address fax:** (513) 772-4464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 020323250 | OH | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 11/02/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000297651 | ANTHEM | OH |
| 05 | — | 2435225 | — | OH |
| 01 | — | P00121690 | RAILROAD MEDICARE | OH |