Organization
VILLAGE OF ELMWOOD PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID MCCARNAN (CHIEF)
(513) 242-0790
Entity
Organization
Contact information
Practice address
301 OAK ST, ELMWOOD PLACE, OH 45216-2133
(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
—
000000021620
ANTHEM
OH
05
—
0747633
—
OH
Enumeration date
06/24/2006
Last updated
05/23/2024
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