Organization
ST CLAIR TOWNSHIP OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BUBEMYRE (CHIEF)
(513) 896-9058
Entity
Organization
Contact information
Practice address
2227 HAMILTON EATON RD, HAMILTON, OH 45011-9053
(513) 896-9058
(513) 887-6016
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021589
ANTHEM BCBS
OH
05
—
0926467
—
OH
01
—
146550001
CARESOURCE
OH
01
—
590008182
RAILROAD MEDICARE
OH
Enumeration date
10/14/2005
Last updated
05/13/2024
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