Organization
PAINT CREEK JOINT EMS FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E MANNING (CHIEF)
(937) 981-3394
Entity
Organization
Contact information
Practice address
640 N WASHINGTON ST, GREENFIELD, OH 45123-1051
(937) 981-3394
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000648637
ANTHEM
—
05
—
3038288
—
OH
01
—
P00863174
RAILROAD MEDICARE
—
Enumeration date
12/03/2009
Last updated
10/11/2021
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