Organization
PIKE TOWNSHIP TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY DONNELLY (FIRE CHIEF)
(937) 408-9714
Entity
Organization
Contact information
Practice address
8440 TROY RD, NEW CARLISLE, OH 45344-9113
(937) 328-2210
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
—
000000003304
ANTHEM BCBS
OH
05
—
2096413
—
OH
01
—
486970001
CARESOURCE
OH
01
—
590012543
RAILROAD MEDICARE
OH
Enumeration date
10/05/2005
Last updated
05/16/2024
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