Organization
HIGHLAND TOWNSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WOLFRUM (FISCAL OFFICER)
(419) 395-2206
Entity
Organization
Contact information
Practice address
27723 WATSON RD, DEFIANCE, OH 43512-6845
(800) 962-1484
(513) 772-4464
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(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
—
000000359251
ANTHEM
OH
05
—
2531200
—
OH
Enumeration date
07/02/2006
Last updated
04/21/2026
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