Organization Active NPI

Hebron Fire Protection District

  • Ambulance
  • Hebron, KY
National Provider Identifier
1336149582
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1476 Issued in KY
Legal business name
HEBRON FIRE PROTECTION DISTRICT
Practice address
3120 North Bend Rd
Hebron, KY 41048-8465
Phone
(859) 586-9009
Fax
(859) 586-9059
NPI assigned
Jul 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Authorized official

Name
Adam N PeddicordNPI 1629433024
Title
Fire Chief
Phone
(859) 586-9009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1476 KY Primary

Addresses

Primary practice location

3120 North Bend Rd
Hebron, KY 41048-8465

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9907
Phone (513) 612-3158

Other identifiers 6

IdentifierTypeStateIssuer
083344600OtherKYBLACK LUNG
200272350AMedicaidIN
2203485MedicaidOH
590013930OtherKYRAILROAD MEDICARE
000000039196OtherKYANTHEM
55008056MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000521 KY Part B Supplier - Ambulance Service Supplier 5092619510 Practice locations: Hebron, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1005367Hebron Fire Protection District3120 North Bend Road, Hebron, KY 41048Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

3120 N Bend Rd
Hebron, KY 41048
Phone (859) 586-9009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1336149582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "513-612-3158",
            "fax_number": "513-612-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 NORTH BEND RD",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410488465",
            "telephone_number": "859-586-9009",
            "fax_number": "859-586-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBRON FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A",
        "authorized_official_last_name": "PEDDICORD",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "859-586-9009"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "083344600",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200272350A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203485",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013930",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000039196",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55008056",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.