Organization
JEFFERSON TWP TTEES
Active
Other names
JEFFERSON TOWNSHIP FIRE DEPT
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA FLIEHMAN (FISCAL OFFICER)
(937) 453-2571
Entity
Organization
Contact information
Practice address
3188 MAYSVILLE ST, BOWERSVILLE, OH 45307
(937) 453-2571
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
021263450
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494050
ANTHEM
—
05
—
2698808
—
OH
Enumeration date
08/21/2006
Last updated
05/17/2024
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