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Organization

BEAVERCREEK TOWNSHIP

Active
Other names
Beavercreek Township Fire Department
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A. VANDENBOS (FIRE CHIEF)
(937) 426-1213
Entity
Organization

Contact information

Practice address
2195 DAYTON XENIA RD, BEAVERCREEK, OH 45434-7154
(937) 426-1213
Mailing address
851 ORCHARD LN, BEAVERCREEK TOWNSHIP, OH 45434-7228
(937) 426-1213

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
02-0302250
OH
341600000X
Ambulance
FCY.020302250-13
OH
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000208191
ANTHEM
OH
05
2239429
OH
01
590014586
RAILROAD MEDICARE
OH
Enumeration date
08/15/2005
Last updated
11/01/2024
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