GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION (NPI# 1073513206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073513206 |
Entity Type | Organization |
Organization Name | GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION |
Other Organization Name | GEORGETOWN LIFE SQUAD |
Practice Address |
821 Mt. Orab Pike Georgetown OH 45121 |
Mailing Address |
Po Box 184 Georgetown OH 45121-0184 |
Practice Telephone | 9373783082 |
Practice Fax Number | 9373784709 |
Mailing Telephone | 9372917850 |
Mailing Fax Number | 9372912971 |
Enumeration Date | 2005-07-29 |
Last Update Date | 2008-03-13 |
Authorized Official Name | ANITA MCKINZIE (EMS) |
Authorized Official Telephone | 9373782101 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM | 000000006129 | 01 |
OH | 0294168 | 05 |
Other Name | Type Code |
---|---|
Georgetown Life Squad | Doing Business As Name - Organization |
Street Address |
821 MT. ORAB PIKE |
City | GEORGETOWN |
State | OH |
Zip Code | 45121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417324609 | Jennifer A Shaw | Psychologist | 9231 Hamer Road, Brown County Educational Service Center, Georgetown, OH 45121 | 2015-08-24 |
1760880926 | Ashley Marcia Gardner-attinger | Personal Emergency Response Attendant | 9321-b Hamer Rd, Georgetown, OH 45121 | 2014-12-19 |
1447686753 | Ivan D Mcfann Jr. | Licensed Practical Nurse | 10778 Rolling Acres Drive, Georgetown, OH 45121 | 2013-09-18 |
1851651798 | Pamela J Kelch | Registered Nurse | 17 Wood Cliff Way, Georgetown, OH 45121 | 2012-05-25 |
1194027557 | Adams Brown Counties Economic Oppt Inc | Clinic/Center | 406 W. Plum Street, Georgetown, OH 45121 | 2010-11-17 |
1255590972 | Nancy Taylor | Home Health Aide | 201 Meadow Spring Dr, Georgetown, OH 45121 | 2008-06-06 |
1770796658 | Gwen S Courts | Counselor | 12525 New Hope White Oak Station Rd, Georgetown, OH 45121 | 2007-05-08 |
1770511511 | Southern Ohio Health Services Network | Obstetrics & Gynecology | 5162 St. Rt. 125, Georgetown, OH 45121 | 2006-06-29 |
1700881653 | Ene G George | Obstetrics & Gynecology | 5162 St Rt, Georgetown, OH 45121 | 2005-06-16 |
1821578246 | Adams County Hospital | Family Medicine | 900 Mount Orab Pike, Georgetown, OH 45121 | 2018-08-15 |
Find all providers in zip 45121 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | GEORGETOWN |
Zip Code | 45121 |
Please comment or provide details below to improve the information on GEORGETOWN VOLUNTEER LIFE SQUAD ASSOCIATION.
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.