Healthcare Provider Details

I. General information

NPI: 1477553527
Provider Name (Legal Business Name): CITY OF PIQUA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

229 W WATER ST
PIQUA OH
45356-2235
US

IV. Provider business mailing address

PO BOX 635405
CINCINNATI OH
45263-5405
US

V. Phone/Fax

Practice location:
  • Phone: 937-778-2051
  • Fax:
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 Number02-0298450
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: LUTHER PAUL OBERDORFER
Title or Position: CITY MANAGER
Credential:
Phone: 937-778-2052