Organization
CITY OF MONTGOMERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEN SHAPIRO (ASST CHIEF)
(513) 985-1633
Entity
Organization
Contact information
Practice address
10150 MONTGOMERY RD, CINCINNATI, OH 45242-5324
(513) 985-1633
(513) 985-0870
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
—
000000021404
ANTHEM BCBS
OH
05
—
2138127
—
OH
01
—
590011448
RAILROAD MEDICARE
OH
Enumeration date
10/05/2005
Last updated
05/16/2024
Update your record
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