Healthcare Provider Details

I. General information

NPI: 1831202258
Provider Name (Legal Business Name): ANDERSON TOWNSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7954 BEECHMONT AVE
CINCINNATI OH
45255-3294
US

IV. Provider business mailing address

PO BOX 706372
CINCINNATI OH
45270-6372
US

V. Phone/Fax

Practice location:
  • Phone: 513-688-8400
  • Fax:
Mailing address:
  • Phone: 866-631-2658
  • Fax: 937-291-0236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number020300650
License Number StateOH

VIII. Authorized Official

Name: SUZANNE PARKER
Title or Position: ASST TOWNSHIP ADMIN
Credential:
Phone: 513-688-8400