Organization
CITY OF KETTERING
Active
Other names
Kettering Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GREESON (CITY MANAGER)
(937) 296-2489
Entity
Organization
Contact information
Practice address
4745 HEMPSTEAD STATION DR, KETTERING, OH 45429-5165
(937) 298-2489
Mailing address
PO BOX 78000 DEPT 781427, DETROIT, MI 48278-0001
(937) 291-7850
(937) 291-2971
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
02032860013
OH
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000301588
ANTHEM
OH
05
—
2420759
—
OH
01
—
P00041705
RAILROAD MEDICARE
OH
Enumeration date
07/26/2005
Last updated
08/01/2024
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