Organization
MIAMI TWP CLERMONT CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN MCKINNISH (DEPUTY CHIEF)
(513) 248-3700
Entity
Organization
Contact information
Practice address
5888 MCPICKEN DR, MILFORD, OH 45150-4904
(513) 248-3700
(513) 248-3719
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
—
000000021493
ANTHEM BCBS
OH
05
—
2236566
—
OH
01
—
446390001
CARESOURCE
OH
01
—
590014348
RAILROAD MEDICARE
OH
Enumeration date
09/23/2005
Last updated
12/10/2025
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