Organization
GASPER TWP TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW GEORGE (AUTHORIZED OFFICIAL)
(937) 472-0100
Entity
Organization
Contact information
Practice address
4195 PAINT CREEK RD, EATON, OH 45320-9385
(800) 962-1484
(513) 772-4464
Mailing address
4195 PAINT CREEK RD, EATON, OH 45320-9385
(877) 200-1191
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007944
ANTHEM
OH
05
—
2605363
—
OH
01
—
P00241068
RAILROAD MEDICARE
OH
Enumeration date
06/20/2006
Last updated
07/10/2025
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