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Organization

C B & S JOINT FIRE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY BURRER (FIRE CHIEF)
(419) 545-0073
Entity
Organization

Contact information

Practice address
11 N DELAWARE ST, SHILOH, OH 44878-9747
(419) 896-3966
Mailing address
10361 SPARTAN DR, CINCINNATI, OH 45215-1220
(800) 962-1484
(513) 772-4464

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
EXEMPT
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000155642
ANTHEM
05
0793548
OH
01
590011797
RAILROAD MEDICARE
Enumeration date
05/28/2006
Last updated
11/07/2016
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