Organization
VILLAGE OF CLEVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MOORE (FIRE CHIEF)
(513) 941-1111
Entity
Organization
Contact information
Practice address
680 N MIAMI AVE, CLEVES, OH 45002-9627
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 621005, CINCINNATI, OH 45262-1005
(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
—
000000253212
ANTHEM
OH
01
—
590015337
RAILROAD MEDICARE
OH
Enumeration date
06/24/2006
Last updated
06/25/2008
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