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Organization

GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION

Active
Other names
Georgetown Life Squad
Organization subpart
No

Provider details

NPI number
Authorized official
ANITA MCKINZIE (EMS)
(937) 378-2101
Entity
Organization

Contact information

Practice address
821 MT. ORAB PIKE, GEORGETOWN, OH 45121
(937) 378-3082
(937) 378-4709
Mailing address
PO BOX 184, GEORGETOWN, OH 45121-0184
(937) 291-7850
(937) 291-2971

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000006129
ANTHEM
OH
05
0294168
OH
Enumeration date
07/29/2005
Last updated
03/13/2008
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