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Organization

VILLAGE OF GRAND RIVER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GORDON THOMPSON (CHIEF)
(440) 571-1900
Entity
Organization

Contact information

Practice address
205 SINGER AVE, GRAND RIVER, OH 44045
(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
000000371683
ANTHEM
OH
05
2600484
OH
01
P00251586
RAILROAD MEDICARE
OH
Enumeration date
06/26/2006
Last updated
01/29/2025
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