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Organization
VILLAGE OF WEST ALEXANDRIA
Active
Organization
VILLAGE OF WEST ALEXANDRIA
Active
Other names
West Alexandria EMS
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS C SMITH (CHIEF)
(937) 839-5320
Entity
Organization
Contact information
Practice address
8 MARTY LN, WEST ALEXANDRIA, OH 45381-1164
(937) 839-4151
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
02-0393400
OH
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021628
ANTHEM
OH
05
—
2233407
—
OH
01
—
590004817
RAILROAD MEDICARE
OH
Enumeration date
08/17/2005
Last updated
06/16/2021
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