Organization
UNION TOWNSHIP LIFE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA WEIKERT (CHIEF)
(937) 698-8857
Entity
Organization
Contact information
Practice address
4960 DAVIS RD, WEST MILTON, OH 45383-7734
(937) 698-7507
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(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
—
000000155176
ANTHEM
OH
05
—
2202262
—
OH
Enumeration date
06/25/2006
Last updated
05/24/2024
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