Organization
CITY OF MASON OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN BRUMAGEN (CHIEF)
(513) 229-8540
Entity
Organization
Contact information
Practice address
4420 MASON MONTGOMERY RD, MASON, OH 45040-1578
(800) 962-1484
(513) 772-4464
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
—
000000036808
ANTHEM
OH
05
—
2216275
—
OH
01
—
297020001
CARESOURCE
OH
01
—
590013114
RAILROAD MEDICARE
OH
Enumeration date
05/24/2006
Last updated
05/21/2024
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