Organization
MADISON TOWNSHIP BD OF TRUSTEES
Active
Other names
Madison Twp Fire & Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY JORDAN PETERS (ASSISTANT CHIEF)
(513) 678-5167
Entity
Organization
Contact information
Practice address
5655 MOSIMAN RD, MIDDLETOWN, OH 45042-0001
(513) 424-3384
(513) 424-4659
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
(513) 527-0659
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
02-0353550
OH
341600000X
Ambulance
Primary
02-1623900
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000503811
ANTHEM
OH
05
—
2712372
—
OH
01
—
P00654167
RAILROAD MEDICARE
OH
Enumeration date
08/17/2006
Last updated
12/23/2024
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