Healthcare Provider Details

I. General information

NPI: 1982604492
Provider Name (Legal Business Name): CITY OF MIAMISBURG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 N 1ST ST
MIAMISBURG OH
45342-2305
US

IV. Provider business mailing address

10 N 1ST ST
MIAMISBURG OH
45342-2305
US

V. Phone/Fax

Practice location:
  • Phone: 937-847-6663
  • Fax:
Mailing address:
  • Phone: 937-424-3701
  • Fax: 937-291-2971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02-0304050
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BOBBITT
Title or Position: FIRE CHIEF
Credential:
Phone: 937-847-6663