Healthcare Provider Details
I. General information
NPI: 1831199041
Provider Name (Legal Business Name): CITY OF HILLSBORO
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2005
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
130 N HIGH ST
HILLSBORO OH
45133-1152
US
IV. Provider business mailing address
PO BOX 643299
CINCINNATI OH
45264-0307
US
V. Phone/Fax
- Phone: 937-393-5791
- Fax: 937-393-3691
- Phone: 937-291-7850
- Fax: 937-291-2971
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JERRY
POWELL
Title or Position: CHIEF
Credential:
Phone: 937-393-2902