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Organization
DELPHOS CITY
Active
Organization
DELPHOS CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRYL L GEORGE (ADMINISTRATIVE ASSISTANT)
(419) 695-4010
Entity
Organization
Contact information
Practice address
125 E 2ND ST, DELPHOS, OH 45833-1760
(419) 695-2911
(419) 695-2021
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0425758
—
OH
01
—
156055
ANTHEM BLUE CROSS
OH
Enumeration date
01/19/2007
Last updated
05/15/2024
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