Organization
TOWNSHIP OF MONROE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE FORDER (FISCAL OFFICER)
(513) 734-0847
Entity
Organization
Contact information
Practice address
2828 STATE ROUTE 222, BETHEL, OH 45106-9521
(513) 734-0847
(513) 734-1279
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
—
000000355118
ANTHEM BCBS
OH
05
—
2523139
—
OH
Enumeration date
10/25/2005
Last updated
05/16/2024
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