# CITY OF TROTWOOD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255333621
- **Authorized official:** RICHARD HAACKE (BATTALION CHIEF)
- **Authorized official phone:** (937) 854-7255

## Contact information

- **Practice address:** 14 W TROTWOOD BLVD, TROTWOOD, OH 45426-3352
- **Practice address phone:** (937) 854-2575
- **Mailing address:** PO BOX 392907, PITTSBURGH, PA 15251-9907
- **Mailing address phone:** (800) 962-1484
- **Mailing address fax:** (513) 772-4464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 021098650 | OH | Yes |

## Other

- **Enumeration date:** 08/15/2005
- **Last updated:** 05/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000207552 | ANTHEM | OH |
| 05 | — | 2226460 | — | OH |