Organization
NORTHFIELD CENTER-SAGAMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANICE E. HETZEL (FIRE DISTRICT CLERK)
(330) 467-7410
Entity
Organization
Contact information
Practice address
60 WEST AURORA ROAD, NORTHFIELD CENTER, OH 44067
(330) 467-7410
(330) 468-6576
Mailing address
PO BOX 621005, CINCINNATI, OH 45262-1005
(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
—
000000709999
ANTHEM
—
01
—
8016014
AETNA
—
Enumeration date
09/03/2010
Last updated
04/01/2013
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