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Organization

HARRISON TOWNSHIP BOARD OF TRUSTEES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CRIST (CHIEF)
(937) 274-4351
Entity
Organization

Contact information

Practice address
2400 TURNER RD, DAYTON, OH 45415-3649
(937) 274-4351
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 772-4464

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000021456
ANTHEM
OH
05
0137999
OH
Enumeration date
08/18/2005
Last updated
05/27/2025
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