Greenfield Area Life Squad Inc.
Organization Active NPI Ambulance · Greenfield, OH
NPI 1780643148 · NPPES record last updated Apr 13, 2009
Key facts
- NPI
- 1780643148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- GREENFIELD AREA LIFE SQUAD INC.
- Practice address
- 640 North Washington St
Greenfield, OH 45123 - Phone
- (937) 981-3394
- NPI assigned
- Mar 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Susan Maynard
- Title
- Chief
- Phone
- (937) 981-3394
National Provider Directory
Locations
640 N Washington St
Greenfield, OH 45123
Phone (937) 981-3394
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes |
Addresses
Primary practice location
640 North Washington St
Greenfield, OH 45123
Mailing address
4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0270120 | Medicaid | OH | |
| 000000000345 | Other | ANTHEM BCBS |
Other providers in Greenfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.