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Organization

LEESBURG TOWNSHIP TRUSTEES

Active
Other names
Leesburg Township Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN COOK (CHIEF)
(937) 537-0215
Entity
Organization

Contact information

Practice address
12985 STATE ROUTE 347, MARYSVILLE, OH 43040-9432
(937) 348-2204
(937) 578-5079
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251
(800) 962-1484

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000997388
ANTHEM BCBS
OH
01
P01616441
RAILROAD MEDICARE
Enumeration date
12/07/2011
Last updated
10/11/2021
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