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Organization
VILLAGE OF BLOOMDALE
Active
Organization
VILLAGE OF BLOOMDALE
Active
Other names
Village of Bloomdale Ambulance Services
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOHN MARECHES (CHIEF OPERATING OFFICER)
(419) 454-3764
Entity
Organization
Contact information
Practice address
102 S MAPLE ST, BLOOMDALE, OH 44817
(419) 454-2941
(419) 454-2119
Mailing address
102 S MAPLE ST, PO BOX 235, BLOOMDALE, OH 44817
(419) 454-2941
(419) 454-2119
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000156050
ANTHEM BLUE CROSS
—
05
—
0601969
—
OH
01
—
P00259613
RAILROAD MEDICARE
—
Enumeration date
01/17/2006
Last updated
11/15/2023
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