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Organization

CITY OF MAPLE HEIGHTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHIE DEFRANCESCO (BILLING)
(216) 587-9093
Entity
Organization

Contact information

Practice address
5520 WARRENSVILLE CENTER ROAD, MAPLE HEIGHTS, OH 44137-3126
(216) 587-9093
(216) 587-9055
Mailing address
5520 WARRENSVILLE CENTER ROAD, MAPLE HEIGHTS, OH 44137-3126
(216) 587-9093
(216) 587-9055

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000155995
BLUE CROSS BLUE SHIELD
OH
05
0739802
OH
01
OTH000
AMBULANCE
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
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