Organization
CITY OF ENGLEWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY TERRACE (FIRE CHIEF)
(937) 836-5106
Entity
Organization
Contact information
Practice address
333 W NATIONAL RD, ENGLEWOOD, OH 45322-1461
(937) 836-5106
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
020999550
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000210090
ANTHEM
OH
05
—
2248991
—
OH
Enumeration date
08/15/2005
Last updated
02/17/2021
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