Organization
CITY OF HILLSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY POWELL (CHIEF)
(937) 393-2902
Entity
Organization
Contact information
Practice address
130 N HIGH ST, HILLSBORO, OH 45133-1152
(937) 393-5791
(937) 393-3691
Mailing address
PO BOX 643299, CINCINNATI, OH 45264-0307
(937) 291-7850
(937) 291-2971
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021459
ANTHEM
OH
05
—
0321262
—
OH
Enumeration date
07/29/2005
Last updated
03/13/2008
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