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Organization
TRI-VILLAGE RESCUE SERVICES INC
Active
Organization
TRI-VILLAGE RESCUE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BURNS (CHIEF)
(937) 996-3155
Entity
Organization
Contact information
Practice address
320 N MAIN ST, NEW MADISON, OH 45346-9794
(937) 996-3155
Mailing address
PO BOX 621005, CINCINNATI, OH 45262-1005
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000001119
ANTHEM
OH
05
—
0558794
—
OH
01
—
5900155555
RAILROAD MEDICARE
—
Enumeration date
08/18/2005
Last updated
10/28/2022
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