Organization
PAXTON TOWNSHIP TTEES
Active
Other names
Paxton Township Area Life Squad
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY METTLER (FISCAL OFFICER)
(740) 634-3241
Entity
Organization
Contact information
Practice address
202 S MOUNTAIN ST, BAINBRIDGE, OH 45612-1135
(740) 634-3307
Mailing address
10361 SPARTAN DR, CINCINNATI, OH 45215-1220
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
020323250
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000297651
ANTHEM
OH
05
—
2435225
—
OH
01
—
P00121690
RAILROAD MEDICARE
OH
Enumeration date
08/18/2005
Last updated
11/02/2016
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