GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION NPI 1073513206

NPI Information

NPI: 1073513206
Provider Name: GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION

Doing Business As: GEORGETOWN LIFE SQUAD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
821 MT. ORAB PIKE
GEORGETOWN, OH
ZIP 45121
Phone: (937) 378-3082
Get Directions

GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION is a land transport ambulance in Georgetown, OH. GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION NPI is 1073513206. The provider is registered as an organization entity type.
The provider Is Doing Business As Georgetown Life Squad.

The provider's business location address is:

821 MT. ORAB PIKE
GEORGETOWN, OH
ZIP 45121
Phone: (937) 378-3082
Fax: (937) 378-4709

The provider's authorized official is Anita Mckinzie .
The authorized official title is Ems and has the following contact phone number (937) 378-2101.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 3/13/2008.

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			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	000000006129	OTHER	OHIO	ANTHEM
2	0294168	MEDICAID	OHIO
3	9145751	MEDICARE PIN	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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