Healthcare Provider Details

I. General information

NPI: 1922097427
Provider Name (Legal Business Name): CITY OF RIVERSIDE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2005
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1791 HARSHMAN RD
DAYTON OH
45424-5017
US

IV. Provider business mailing address

PO BOX 73648
CLEVELAND OH
44193-0002
US

V. Phone/Fax

Practice location:
  • Phone: 937-233-6212
  • Fax: 937-252-8052
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-527-0659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberFCY.020328700-13
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MARK MILLER
Title or Position: FIRE CHIEF
Credential:
Phone: 937-233-6265