Organization
CITY OF WEST CARROLLTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS BARNETT (CHIEF)
(937) 847-4645
Entity
Organization
Contact information
Practice address
125 W CENTRAL AVE, DAYTON, OH 45449
(937) 847-4645
(937) 847-4644
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
—
000000021411
ANTHEM BCBS
OH
05
—
2097163
—
OH
01
—
287940001
CARESOURCE
OH
01
—
590012556
RAILROAD MEDICARE
OH
01
—
=========
TRICARE 4 LIFE
OH
Enumeration date
10/25/2005
Last updated
05/29/2024
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