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Organization
JEFFERSON TWP TTEES
Active
Organization
JEFFERSON TWP TTEES
Active
Other names
JEFFERSON TOWNSHIP FIRE DEPT
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA FLIEHMAN (FISCAL OFFICER)
(937) 453-2571
Entity
Organization
Contact information
Practice address
3188 MAYSVILLE ST, BOWERSVILLE, OH 45307
(937) 453-2571
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
021263450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494050
ANTHEM
—
05
—
2698808
—
OH
Enumeration date
08/21/2006
Last updated
05/17/2024
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