Organization
NORTHEAST CHAMPAIGN COUNTY FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY JENKINS (FISCAL OFFICER)
(937) 747-2345
Entity
Organization
Contact information
Practice address
60 E MAPLE ST, NORTH LEWISBURG, OH 43060-9997
(937) 747-2345
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155160
ANTHEM
OH
05
—
0917299
—
OH
Enumeration date
08/16/2005
Last updated
05/14/2024
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