MEDICARE: CITY OF OAKWOOD

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	02-0312450	OH
2	341600000X	Ambulance	FCY.020312450-13	OH
3	3416L0300X	Land Ambulance
4	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00381384	OTHER	OH	RAILROAD MEDICARE

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
3	000000360433	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1619977857
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF OAKWOOD

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	:	833-953-0588

Provider Business Practice Location Address
First Line	:	30 PARK AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45419-3426
Country	:	US
Telephone Number	:	937-298-2122
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	ALAN J. HILL
Credential	:
Telephone Number	:	937-298-2122

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	11/19/2024

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Directions to “CITY OF OAKWOOD ” Practice Location

Language	Start Address	Practice Location

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