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Organization

HIGHLAND COUNTY NORTH JOINT FIRE-AMBULANCE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNY STEVENS JR. (CHIEF)
(937) 780-6909
Entity
Organization

Contact information

Practice address
200 SOUTH ST, LEESBURG, OH 45135-9223
(937) 780-6909
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
021209650
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000232295
ANTHEM
05
2213689
OH
01
590014183
RAILROAD MEDICARE
Enumeration date
07/19/2007
Last updated
05/13/2024
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