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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
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