Organization
TOWNSHIP OF NEW JASPER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MCDANIEL (CHIEF)
(937) 374-7440
Entity
Organization
Contact information
Practice address
3121 JASPER RD, XENIA, OH 45385-8412
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000330083
ANTHEM
OH
05
—
2464373
—
OH
01
—
310769679
TRICARE 4 LIFE
OH
Enumeration date
07/07/2006
Last updated
05/16/2024
Update your record
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