Organization
CITY OF TROTWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HAACKE (BATTALION CHIEF)
(937) 854-7255
Entity
Organization
Contact information
Practice address
14 W TROTWOOD BLVD, TROTWOOD, OH 45426-3352
(937) 854-2575
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
021098650
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000207552
ANTHEM
OH
05
—
2226460
—
OH
Enumeration date
08/15/2005
Last updated
05/17/2024
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