Healthcare Provider Details

I. General information

NPI: 1356330146
Provider Name (Legal Business Name): VILLAGE OF MILLVILLE EMS DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 ROSS HANOVER RD
HAMILTON OH
45013-4469
US

IV. Provider business mailing address

PO BOX 621005
CINCINNATI OH
45262-1005
US

V. Phone/Fax

Practice location:
  • Phone: 513-863-3410
  • Fax: 513-863-2743
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: STEVE MILLER
Title or Position: FIRE CHIEF
Credential:
Phone: 513-863-3410