Organization
SRWW JOINT FIRE DISTRICT 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK GASKINS (CHIEF)
(937) 584-4132
Entity
Organization
Contact information
Practice address
179 S JACKSON ST, SABINA, OH 45169-1333
(937) 584-4132
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
020326750
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350734
ANTHEM
OH
05
—
2545606
—
OH
Enumeration date
08/19/2005
Last updated
05/13/2024
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