Healthcare Provider Details
I. General information
NPI: 1609868306
Provider Name (Legal Business Name): CITY OF NEW CARLISLE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2005
Last Update Date: 05/20/2024
Certification Date: 05/20/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
315 N CHURCH ST
NEW CARLISLE OH
45344-1850
US
IV. Provider business mailing address
PO BOX 392907
PITTSBURGH PA
15251
US
V. Phone/Fax
- Phone: 937-845-8401
- Fax: 937-845-3610
- Phone: 800-962-1484
- Fax: 513-772-4464
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:
STEVEN
WAYNE
TRUSTY
Title or Position: CHIEF
Credential:
Phone: 937-845-9492