Provider Demographics
NPI:1972503100
Name:VILLAGE OF NEW RICHMOND
Entity Type:Organization
Organization Name:VILLAGE OF NEW RICHMOND
Other - Org Name:NEW RICHMOND EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-553-2117
Mailing Address - Street 1:10361 SPARTAN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1220
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:513-772-4464
Practice Address - Street 1:102 WILLOW ST
Practice Address - Street 2:
Practice Address - City:NEW RICHMOND
Practice Address - State:OH
Practice Address - Zip Code:45157-1354
Practice Address - Country:US
Practice Address - Phone:513-553-2117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0325650341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000021511OtherANTHEM
OHP00095508OtherRAILROAD MEDICARE
OH0870982Medicaid
OH9243801Medicare PIN