MEDICARE: CITY OF HARRISON

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590015330	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000221281	OTHER	OH	ANTHEM BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	439380001	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1144217910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF HARRISON

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	:	200 HARRISON AVE
Second Line	:
City	:	HARRISON
State	:	OH
Zip	:	45030-1330
Country	:	US
Telephone Number	:	513-367-4194
Fax Number	:	513-367-3712

Authorized Official
Title or Position	:	CHIEF
Name	:	ROB HURSONG
Credential	:
Telephone Number	:	513-367-4194

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	05/23/2024

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Directions to “CITY OF HARRISON ” Practice Location

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