Organization
COUNTY OF STONELICK TOWNSHIP TTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM PEMBERTON (CHIEF)
(513) 732-1136
Entity
Organization
Contact information
Practice address
2541 US HIGHWAY 50, BATAVIA, OH 45103-8527
(800) 962-1484
(513) 772-4464
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
—
000000501232
ANTHEM
OH
05
—
2711168
—
OH
Enumeration date
06/12/2006
Last updated
05/24/2024
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