Organization
CITY OF MORAINE
Active
Other names
Moraine Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI KUZMINSKI (CHIEF)
(937) 535-1141
Entity
Organization
Contact information
Practice address
4747 S DIXIE DR, MORAINE, OH 45439-2115
(937) 535-1110
Mailing address
PO BOX 706419, CINCINNATI, OH 45270-6419
(855) 626-9660
(833) 953-0588
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02-0309250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000620787
ANTHEM
OH
05
—
2953004
—
OH
01
—
P00820044
RAILROAD MEDICARE
OH
Enumeration date
02/03/2009
Last updated
01/25/2024
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