Organization
MIFFLIN TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SWITZER (FISCAL OFFICER)
(419) 589-8037
Entity
Organization
Contact information
Practice address
2326 PARK AVE E, MANSFIELD, OH 44903-8748
(419) 589-3378
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155998
ANTHEM BCBS
OH
05
—
2131133
—
OH
Enumeration date
10/26/2005
Last updated
05/24/2024
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