Organization
VILLAGE OF WOODLAWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN JENKINS (ASSISTANT CHIEF)
(513) 771-0233
Entity
Organization
Contact information
Practice address
10121 SPRINGFIELD PIKE, CINCINNATI, OH 45215-1428
(800) 962-1484
(513) 772-4464
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
—
000000021635
ANTHEM
OH
05
—
0162247
—
OH
01
—
105470001
CARESOURCE
OH
01
—
590011324
RAILROAD MEDICARE
OH
Enumeration date
05/26/2006
Last updated
03/12/2026
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