Organization
DAMASCUS TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORINA SMITH (FISCAL OFFICER)
(419) 906-4547
Entity
Organization
Contact information
Practice address
205 MAIN ST, MC CLURE, OH 43534-7714
(419) 906-4547
Mailing address
PO BOX 1, MC CLURE, OH 43534-0001
(419) 906-4547
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000514413
ANTHEM
OH
05
—
2750250
—
OH
Enumeration date
12/26/2006
Last updated
11/07/2025
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