MEDICARE: CROSBY TOWNSHIP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	290480001	OTHER	OH	CARESOURCE
3	000000036818	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1053300848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CROSBY TOWNSHIP

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9907
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	9139 BAUGHMAN RD
Second Line	:
City	:	HARRISON
State	:	OH
Zip	:	45030-1701
Country	:	US
Telephone Number	:	513-738-1831
Fax Number	:	513-738-1830

Authorized Official
Title or Position	:	CHIEF
Name	:	JASON DAVIS
Credential	:
Telephone Number	:	513-738-1831

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	03/03/2025

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Directions to “CROSBY TOWNSHIP ” Practice Location

Language	Start Address	Practice Location

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