Organization
SYCAMORE TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELBY THORESON (ASST FIRE CHIEF)
(513) 792-8565
Entity
Organization
Contact information
Practice address
8540 KENWOOD RD, CINCINNATI, OH 45236-2010
(513) 792-8565
(513) 792-8564
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
—
000000021593
ANTHEM BCBS
OH
05
—
0459598
—
OH
01
—
272130001
CARESOURCE
OH
01
—
590010315
RAILROAD MEDICARE
OH
Enumeration date
10/05/2005
Last updated
04/21/2026
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