PEEBLES LIFE SQUAD (NPI# 1043204001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043204001 |
| Entity Type | Organization |
| Organization Name | PEEBLES LIFE SQUAD |
| Practice Address |
150 Marble Furnace Rd Peebles OH 45660-1215 |
| Practice Telephone | 9375873598 |
| Practice Fax Number | 9375783602 |
| Mailing Telephone | 9375873598 |
| Mailing Fax Number | 9375783602 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BETTY J HEDRICK (CHIEF) |
| Authorized Official Telephone | 9375872386 |
| Authorized Official Credential | EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
N/A | OH | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0232868 | 05 |
| Street Address |
150 MARBLE FURNACE RD |
| City | PEEBLES |
| State | OH |
| Zip Code | 45660-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244133 | Cheyenne Nicole Butt | Licensed Practical Nurse | 64 Diamond Street 1, Peebles, OH 45660 | 2020-01-15 |
| 1275812547 | Jami Michele Conley | Registered Nurse | 184 Brook Bend Lane, Peebles, OH 45660 | 2011-08-04 |
| 1770723207 | Adams County Auditor | Ambulance | 17955 St Rt 247, Peebles, OH 45660 | 2009-02-24 |
| 1992858732 | Gail Ann Storer | Home Health Aide | 37 South Nixon Ave, Apt 1, Peebles, OH 45660 | 2007-01-18 |
| 1376586669 | James R Franklin | Dentist | 15 Shaker Run Rd, Peebles, OH 45660 | 2006-06-14 |
| 1295706976 | Olayinka Olusola Aina | Emergency Medicine | 154 Elliott Ave, Peebles, OH 45660 | 2006-01-30 |
| 1912216011 | Levi Harrison Tolle | Chiropractor | 133 Elliott Ave, Peebles, OH 45660 | 2010-10-07 |
| 1801815824 | Franklin Dental and Health Care, LLC | Dentist | 15 Shaker Run Rd, Peebles, OH 45660 | 2006-07-19 |
| 1861539512 | Michelle Lamanzaz | Home Health Aide | 6340 St Rt 781, Peebles, OH 45660-0568 | 2007-01-31 |
| 1598778847 | Matthew A. Greene | Chiropractor | 133 Elliott Ave, Peebles, OH 45660-1027 | 2006-08-15 |
| Find all providers in zip 45660 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770723207 | Adams County Auditor | Ambulance | 17955 St Rt 247, Peebles, OH 45660 | 2009-02-24 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.