Organization
VILLAGE OF LINCOLN HEIGHTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERNELL ELLIOTT (FIRE CHIEF)
(513) 733-0963
Entity
Organization
Contact information
Practice address
1201 STEFFEN AVE, CINCINNATI, OH 45215-2334
(513) 733-0963
(513) 733-4190
Mailing address
10361 SPARTAN DR, CINCINNATI, OH 45215-1220
(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
—
000000021478
ANTHEM BCBS
OH
05
—
0147353
—
OH
01
—
104640001
CARESOURCE
OH
01
—
590009512
RAILROAD MEDICARE
OH
Enumeration date
09/23/2005
Last updated
11/10/2016
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