Organization
BRUSHCREEK LIFE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY MCBEE (CHIEF)
(937) 466-2520
Entity
Organization
Contact information
Practice address
31 GRAND ST, SINKING SPG, OH 45172
(937) 466-2520
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
020856300
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0352498
—
OH
01
—
590006181
RAILROAD MEDICARE
OH
Enumeration date
07/23/2007
Last updated
05/23/2024
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