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Organization
CITY OF AVON
Active
Organization
CITY OF AVON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK ROOT (FIRE CHIEF)
(440) 937-7800
Entity
Organization
Contact information
Practice address
36080 CHESTER RD, AVON, OH 44011-1070
(440) 937-7800
(440) 937-7824
Mailing address
PO BOX 21727, CLEVELAND, OH 44121-0727
(440) 605-9117
(440) 442-4443
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155949
ANTHEM BCBS
OH
05
—
0280271
—
OH
Enumeration date
07/22/2006
Last updated
11/06/2013
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