MEDICARE: VILLAGE OF LEWISBURG

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	02-0707100	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590015234	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000217680	OTHER	OH	ANTHEM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649262866
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF LEWISBURG

Provider Business Mailing Address
First Line	:	PO BOX 687
Second Line	:
City	:	LEWISBURG
State	:	OH
Zip	:	45338-0687
Country	:	US
Telephone Number	:	937-962-4640
Fax Number	:	937-962-4545

Provider Business Practice Location Address
First Line	:	116 S COMMERCE ST
Second Line	:
City	:	LEWISBURG
State	:	OH
Zip	:	45338-0697
Country	:	US
Telephone Number	:	937-962-4640
Fax Number	:	937-962-4545

Authorized Official
Title or Position	:	CHIEF
Name	:	ROBERT SEWERT
Credential	:
Telephone Number	:	937-962-4640

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	11/19/2024

Similar Medicare Providers

1679528004 — MRS. BETH ANN SALISBURY OTR/L
Practice Location Address:

4247 PRICES CREEK RD
LEWISBURG, OH
45338-8055

Practice Phone: 937-938-0826
Practice Fax: 800-708-6150

1558456780 — JOHN DANIEL DAVIS MD
Practice Location Address:

4249 NEW MARKET BANTA RD
LEWISBURG, OH
45338-7745

Practice Phone: 937-962-9347
Practice Fax: 937-962-9027

1972637957 — MRS. BEVERLY JEAN DENIUS LPN
Practice Location Address:

303 CRESCENT DR
LEWISBURG, OH
45338-8033

Practice Phone: 937-962-4632
Practice Fax:

1386868412 — TRINA TAYLOR LPN
Practice Location Address:

10712 MILLERS FORK RD
LEWISBURG, OH
45338-9720

Practice Phone: 937-489-3911
Practice Fax:

1841494804 — DR. DOUGLAS EMERSON SCHUMACHER D.C.
Practice Location Address:

217 ESTHER DR
LEWISBURG, OH
45338-9340

Practice Phone: 937-434-2941
Practice Fax:

1669646246 — MRS. ROBIN SHIVERDECKER LICENSED OPTICIAN
Practice Location Address:

210 N COMMERCE ST
LEWISBURG, OH
45338-9343

Practice Phone: 937-962-4444
Practice Fax: 937-962-4443

Directions to “VILLAGE OF LEWISBURG ” Practice Location

Language	Start Address	Practice Location

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