MEDICARE: UNION TOWNSHIP LIFE SQUAD, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000155176	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508892969
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION TOWNSHIP LIFE SQUAD, INC.

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	4960 DAVIS RD
Second Line	:
City	:	WEST MILTON
State	:	OH
Zip	:	45383-7734
Country	:	US
Telephone Number	:	937-698-7507
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	JESSICA WEIKERT
Credential	:
Telephone Number	:	937-698-8857

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	05/24/2024

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Directions to “UNION TOWNSHIP LIFE SQUAD, INC. ” Practice Location

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