Healthcare Provider Details

I. General information

NPI: 1821152935
Provider Name (Legal Business Name): TRENTON RESCUE SQUAD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S MIAMI ST
TRENTON OH
45067-1402
US

IV. Provider business mailing address

105 S MIAMI ST
TRENTON OH
45067-1402
US

V. Phone/Fax

Practice location:
  • Phone: 513-988-9699
  • Fax: 513-988-6993
Mailing address:
  • Phone: 513-988-9699
  • Fax: 513-988-6993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. RAYMOND NICHOLS
Title or Position: CHIEF
Credential:
Phone: 513-988-9699