MEDICARE: MUNICIPALITY OF MONROE

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	3416L0300X	Land Ambulance
2	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590014381	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000178558	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1891787768
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUNICIPALITY OF MONROE

Provider Business Mailing Address
First Line	:	PO BOX 643967
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45264-0309
Country	:	US
Telephone Number	:	855-626-9660
Fax Number	:	833-953-0588

Provider Business Practice Location Address
First Line	:	6262 HAMILTON MIDDLETOWN RD
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45044-7908
Country	:	US
Telephone Number	:	513-539-7374
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	DAVID LEVERAGE
Credential	:
Telephone Number	:	513-539-8380

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/03/2024

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Directions to “MUNICIPALITY OF MONROE ” Practice Location

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