Organization
LIBERTY TOWNSHIP TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BOLSER (ASST FINANCE DIRECTOR)
(513) 759-7506
Entity
Organization
Contact information
Practice address
6682 PRINCETON GLENDALE RD, HAMILTON, OH 45011
(513) 759-7530
(513) 759-7531
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
—
000000021475
ANTHEM BCBS
OH
05
—
0381751
—
OH
01
—
116820001
CARESOURCE
OH
01
—
590006246
RAILROAD MEDICARE
OH
Enumeration date
10/05/2005
Last updated
04/29/2026
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