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BLANCHESTER COMMUNITY SERVICE NPI 1174556310


NPI Information

NPI: 1174556310
Provider Name: BLANCHESTER COMMUNITY SERVICE
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 36D2271916

Address:
108 W CENTER ST
BLANCHESTER, OH
ZIP 45107
Phone: (800) 962-1484
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BLANCHESTER COMMUNITY SERVICE is an ambulance in Blanchester, OH. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). BLANCHESTER COMMUNITY SERVICE NPI is 1174556310. The provider is registered as an organization entity type.

The provider's business location address is:

108 W CENTER ST
BLANCHESTER, OH
ZIP 45107-106
Phone: (800) 962-1484
Fax: (513) 772-4464

The provider's authorized official is Jim Burroughs .
The authorized official title is Ems Chief and has the following contact phone number (937) 783-2062.

The CLIA number assigned to this NPI record is 36D2271916 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/9/2006 and was last updated on 11/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHEROHIOTRICARE 4 LIFE
2=========002OTHEROHIOMEDICAL MUTUAL OF OHIO
32410046MEDICAIDOHIO
4=========00OTHEROHIOBUREAU OF WORKERS COMP
5P00014841OTHEROHIORAILROAD MEDICARE
6000000288319OTHEROHIOANTHEM
79334381MEDICARE ID-TYPE UNSPECIFIEDOHIO

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

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