Fire Department of Bellevue Dayton
Organization Active NPI Ambulance · Dayton, KY
NPI 1336147248 · NPPES record last updated Oct 22, 2024
Key facts
- NPI
- 1336147248
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1127 (KY)
- Legal business name
- FIRE DEPARTMENT OF BELLEVUE DAYTON
- Practice address
- 514 6TH Avenue
Dayton, KY 41074-1142 - Phone
- (859) 261-0083
- Fax
- (859) 261-2578
- NPI assigned
- Jul 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Brent Schafer
- Title
- Chief
- Phone
- (859) 261-0083
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000703 | KY | Part B Supplier - Ambulance Service Supplier | 9830093905 | Practice locations: Dayton, KY |
National Provider Directory
Locations
514 6th Ave
Dayton, KY 41074
Phone (859) 261-0083
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1127 | KY | Yes |
Addresses
Primary practice location
514 6TH Avenue
Dayton, KY 41074-1142
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590015206 | Other | KY | RAILROAD MEDICARE |
| 56022015 | Medicaid | KY | |
| 1170609 NON-PAR | Other | KY | PASSPORT |
| 0142063 | Medicaid | OH | |
| 55000640 | Medicaid | KY | |
| 080041000 | Other | KY | BLACK LUNG |
| 000000244999 | Other | KY | ANTHEM |
| 61140724 | Other | KY | TRICARE |
| 612866500 | Other | KY | FEDERAL LABOR |
Other providers in Dayton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.