Organization
CLEARCREEK TWP TRUSTEES
Active
Other names
Clearcreek Fire District
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE AGENBROAD (CHIEF)
(937) 748-2766
Entity
Organization
Contact information
Practice address
735 GARDNER RD, SPRINGBORO, OH 45066-5001
(937) 748-3139
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021413
ANTHEM
OH
05
—
0981031
—
OH
01
—
590008360
RAILROAD MEDICARE
OH
Enumeration date
07/29/2005
Last updated
05/06/2025
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