Healthcare Provider Details

I. General information

NPI: 1538169750
Provider Name (Legal Business Name): CITY OF OXFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 ELM STREET
OXFORD OH
45056-1120
US

IV. Provider business mailing address

PO BOX 42426
MIDDLETOWN OH
45042-0426
US

V. Phone/Fax

Practice location:
  • Phone: 513-523-6324
  • Fax: 513-524-7298
Mailing address:
  • Phone: 855-626-9660
  • Fax: 833-953-0588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02-1916500
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOHN P. DETHERAGE JR.
Title or Position: CHIEF
Credential:
Phone: 513-523-6324