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Organization

TRI-VILLAGE RESCUE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC BURNS (CHIEF)
(937) 996-3155
Entity
Organization

Contact information

Practice address
320 N MAIN ST, NEW MADISON, OH 45346-9794
(937) 996-3155
Mailing address
PO BOX 621005, CINCINNATI, OH 45262-1005
(800) 962-1484
(513) 772-4464

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001119
ANTHEM
OH
05
0558794
OH
01
5900155555
RAILROAD MEDICARE
Enumeration date
08/18/2005
Last updated
10/28/2022
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