Organization
CROSBY TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DAVIS (CHIEF)
(513) 738-1831
Entity
Organization
Contact information
Practice address
9139 BAUGHMAN RD, HARRISON, OH 45030-1701
(513) 738-1831
(513) 738-1830
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
—
000000036818
ANTHEM BCBS
OH
05
—
2390256
—
OH
01
—
290480001
CARESOURCE
OH
Enumeration date
10/14/2005
Last updated
03/03/2025
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