Provider Demographics
NPI:1043209810
Name:SYMMES TOWNSHIP
Entity Type:Organization
Organization Name:SYMMES TOWNSHIP
Other - Org Name:SYMMES TOWNSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:OTTO
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-583-3001
Mailing Address - Street 1:PO BOX 621005
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45262-1005
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:9425 LOVELAND MADEIRA RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5421
Practice Address - Country:US
Practice Address - Phone:513-583-3001
Practice Address - Fax:513-583-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH590008428OtherRAILROAD MEDICARE
OH153640001OtherCARESOURCE
OH000000021480OtherANTHEM BCBS
OH0945204Medicaid
OH590008428OtherRAILROAD MEDICARE
OH000000021480OtherANTHEM BCBS
OH=========00OtherBUREAU OF WORKERS COMP
OH=========OtherTRICARE 4 LIFE