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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