Organization
CITY OF SHEFFIELD LAKE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE CONRAD (FIRE CHIEF)
(440) 949-8183
Entity
Organization
Contact information
Practice address
609 HARRIS RD, SHEFFIELD LAKE, OH 44054-1469
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 621005, CINCINNATI, OH 45262-1005
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228155
ANTHEM
OH
05
—
2370769
—
OH
01
—
590015110
RAILROAD MEDICARE
OH
Enumeration date
07/07/2006
Last updated
04/04/2013
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