Organization
FAIRFIELD TOWNSHIP OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BERTER (CHIEF)
(513) 887-4402
Entity
Organization
Contact information
Practice address
6048 MORRIS RD, HAMILTON, OH 45011-5118
(513) 887-4402
(513) 887-2705
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
—
000000021444
ANTHEM BCBS
OH
05
—
2089074
—
OH
01
—
286100001
CARESOURCE
OH
01
—
590012555
RAILROAD MEDICARE
OH
Enumeration date
10/14/2005
Last updated
09/03/2025
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