Organization
PEEBLES LIFE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETTY J HEDRICK EMT (CHIEF)
(937) 587-2386
Entity
Organization
Contact information
Practice address
150 MARBLE FURNACE RD, PEEBLES, OH 45660-1215
(937) 587-3598
(937) 578-3602
Mailing address
150 MARBLE FURNACE RD, PEEBLES, OH 45660-1215
(937) 587-3598
(937) 578-3602
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
N/A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0232868
—
OH
Enumeration date
09/07/2005
Last updated
08/22/2020
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