Organization
PICKAWAY TOWNSHIP TRUSTEES
Active
Other names
Pickaway Township Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
IAN HARDIN (EMS LT)
(740) 474-7211
Entity
Organization
Contact information
Practice address
579 TARLTON RD, CIRCLEVILLE, OH 43113-9134
(740) 207-1296
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
021162750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000285303
ANTHEM
OH
05
—
2385324
—
OH
Enumeration date
08/17/2005
Last updated
05/24/2024
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