CITY OF LEBANON NPI 1174525471

NPI Information

NPI: 1174525471
Provider Name: CITY OF LEBANON
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 36D0969460

Address:
601 N BROADWAY ST
LEBANON, OH
ZIP 45036
Phone: (513) 228-3852
Get Directions

CITY OF LEBANON is a land transport ambulance in Lebanon, OH. CITY OF LEBANON NPI is 1174525471. The provider is registered as an organization entity type.

The provider's business location address is:

601 N BROADWAY ST
LEBANON, OH
ZIP 45036-723
Phone: (513) 228-3852

The provider's authorized official is Ryan Dipzinski .
The authorized official title is Chief and has the following contact phone number (513) 228-3852.

The CLIA number assigned to this NPI record is 36D0969460 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 5/16/2023.

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	000000021401	OTHER		ANTHEM BC/BS
2	0145962	MEDICAID	OHIO
3	590001578	OTHER		RAILROAD MEDICARE

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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