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NPI Code Detail

MEDICARE: CODE BLUE MEDICAL SERVICES, LLC

MEDICARE: CODE BLUE MEDICAL SERVICES, LLC
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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician1701690OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801088349
Entity Type Code : Organization
Provider Name (Legal Business Name) : CODE BLUE MEDICAL SERVICES, LLC
Provider Business Mailing Address
First Line : PO BOX 643954
Second Line :
City : CINCINNATI
State : OH
Zip : 45264-3954
Country : US
Telephone Number : 513-677-9117
Fax Number : 513-677-0045
Provider Business Practice Location Address
First Line : 87 E US HIGHWAY 22 AND 3
Second Line :
City : MAINEVILLE
State : OH
Zip : 45039-7841
Country : US
Telephone Number : 513-677-9117
Fax Number : 513-677-0045
Authorized Official
Title or Position : PRESIDENT
Name : WILLIAM R DANKO
Credential : MD
Telephone Number : 513-677-9117
Provider Enumeration Date : 08/17/2007
Last Update Date : 05/23/2025

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Practice Location Address:
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MAINEVILLE, OH
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Practice Fax:
1306260195 — MS. TARA BOLSINGER
Practice Location Address:
87 E US HIGHWAY 22 AND 3 , SUITE 800
MAINEVILLE, OH
45039-7841
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1356344923 — ALEXANDER RICHARDSON DPM
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1881686483 — HAMILTON TOWNSHIP
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Directions to “CODE BLUE MEDICAL SERVICES, LLC ” Practice Location

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