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NPI Code Detail

MEDICARE: CITY OF LEBANON

MEDICARE: CITY OF LEBANON
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
13416L0300XLand Ambulance

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3590001578OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000021401OTHERANTHEM BC/BS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174525471
Entity Type Code : Organization
Provider Name (Legal Business Name) : CITY OF LEBANON
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 :
Provider Business Practice Location Address
First Line : 601 N BROADWAY ST
Second Line :
City : LEBANON
State : OH
Zip : 45036-1723
Country : US
Telephone Number : 513-228-3852
Fax Number :
Authorized Official
Title or Position : CHIEF
Name : MR. RYAN DIPZINSKI
Credential :
Telephone Number : 513-228-3852
Provider Enumeration Date : 06/01/2005
Last Update Date : 05/16/2023

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Directions to “CITY OF LEBANON ” Practice Location

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