PEEBLES LIFE SQUAD NPI 1043204001

NPI Information

NPI: 1043204001
Provider Name: PEEBLES LIFE SQUAD
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
150 MARBLE FURNACE RD
PEEBLES, OH
ZIP 45660
Phone: (937) 587-3598
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PEEBLES LIFE SQUAD is a land transport ambulance in Peebles, OH. PEEBLES LIFE SQUAD NPI is 1043204001. The provider is registered as an organization entity type.

The provider's business location address is:

150 MARBLE FURNACE RD
PEEBLES, OH
ZIP 45660-215
Phone: (937) 587-3598
Fax: (937) 578-3602

The provider's authorized official is Betty J Hedrick .
The authorized official title is Chief and has the following contact phone number (937) 587-2386.

The enumeration date for this NPI number is 9/7/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	N/A	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0232868	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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