Provider Demographics
NPI:1821084997
Name:CITY OF MT HEALTHY
Entity Type:Organization
Organization Name:CITY OF MT HEALTHY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-931-8840
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9907
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:7700 PERRY ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3445
Practice Address - Country:US
Practice Address - Phone:513-931-8840
Practice Address - Fax:513-931-9555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0798365Medicaid
OH590003998OtherRAILROAD MEDICARE
OH000000021405OtherANTHEM BCBS
OH139030001OtherCARESOURCE
OH=========00OtherBUREAU OF WORKERS COMP
OH590003998OtherRAILROAD MEDICARE
OH139030001OtherCARESOURCE
OH139030001OtherCARESOURCE