Provider Demographics
NPI:1558361709
Name:CITY OF BELLBROOK
Entity Type:Organization
Organization Name:CITY OF BELLBROOK
Other - Org Name:BELLBROOK FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIZZARRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-848-3272
Mailing Address - Street 1:15 E FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:BELLBROOK
Mailing Address - State:OH
Mailing Address - Zip Code:45305-2004
Mailing Address - Country:US
Mailing Address - Phone:937-291-7850
Mailing Address - Fax:937-291-2971
Practice Address - Street 1:35 N WEST ST
Practice Address - Street 2:
Practice Address - City:BELLBROOK
Practice Address - State:OH
Practice Address - Zip Code:45305-1914
Practice Address - Country:US
Practice Address - Phone:937-848-3272
Practice Address - Fax:937-848-5196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2352225Medicaid
OH590015314OtherRAILROAD MEDICARE
OH000000230222OtherANTHEM
OH9326941Medicare PIN