Northern Pendleton Fire District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1587 Issued in KY

Legal business name

NORTHERN PENDLETON FIRE DISTRICT

Practice address

5900 Ky Hwy 154
Butler, KY 41006-9005

Phone

(859) 472-5127

Fax

(859) 472-5128

NPI assigned

Jul 18, 2005

Last updated

Oct 10, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adam Lee Fuller

Title

Fire Chief

Phone

(859) 472-5127

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1114926771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 KY HWY 154",
            "city": "BUTLER",
            "state": "KY",
            "postal_code": "410069005",
            "telephone_number": "859-472-5127",
            "fax_number": "859-472-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN PENDLETON FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "859-472-5127"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000590",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000032237",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2398703",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015144",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080049900",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Butler, KY
• Providers in Butler, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.