Provider Demographics
NPI:1891787768
Name:MUNICIPALITY OF MONROE
Entity type:Organization
Organization Name:MUNICIPALITY OF MONROE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVERAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-539-8380
Mailing Address - Street 1:PO BOX 643967
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-0309
Mailing Address - Country:US
Mailing Address - Phone:855-626-9660
Mailing Address - Fax:833-953-0588
Practice Address - Street 1:6262 HAMILTON MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-7908
Practice Address - Country:US
Practice Address - Phone:513-539-7374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH590014381OtherRAILROAD MEDICARE
OH0840782Medicaid
OH000000178558OtherANTHEM
OH9311681Medicare PIN