Organization
CLINTON SOUTH FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE COX (EMS CAPTAIN)
(937) 783-9391
Entity
Organization
Contact information
Practice address
13501 ST RT 68 SOUTH, MIDLAND, OH 45148
(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
—
000000289750
ANTHEM
OH
05
—
2385100
—
OH
01
—
590015615
RAILROAD MEDICARE
OH
Enumeration date
07/07/2006
Last updated
06/25/2008
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