MEDICARE: MIAMI TOWNSHIP FIRE DEPARTMENT

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		OH

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	000000229146	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1225020183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI TOWNSHIP FIRE DEPARTMENT

Provider Business Mailing Address
First Line	:	PO BOX 633295
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-3295
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 LYONS RD
Second Line	:
City	:	MIAMISBURG
State	:	OH
Zip	:	45342-3720
Country	:	US
Telephone Number	:	937-433-4242
Fax Number	:

Authorized Official
Title or Position	:	FIRE CHIEF
Name	:	DAVID FULMER
Credential	:
Telephone Number	:	937-433-4242

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	04/20/2008

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Directions to “MIAMI TOWNSHIP FIRE DEPARTMENT ” Practice Location

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