Organization
COLUMBIA TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX CHEADLE (CHIEF)
(740) 698-0302
Entity
Organization
Contact information
Practice address
29446 STATE ROUTE 143, ALBANY, OH 45710
(740) 698-0302
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
Enumeration date
09/16/2008
Last updated
09/16/2008
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