Organization Active NPI

City of Covington

  • Ambulance
  • Covington, KY
National Provider Identifier
1477551372
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1304 Issued in KY
Legal business name
CITY OF COVINGTON
Practice address
100 E Robbins St
Covington, KY 41011-3122
Phone
(859) 431-0962
Fax
(859) 292-2179
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Gary Rucker
Title
Asst Chief
Phone
(859) 292-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1304 KY Primary

Addresses

Primary practice location

100 E Robbins St
Covington, KY 41011-3122

Mailing address

PO Box 392907
Pittsburgh, PA 15251-9900
Phone (800) 962-1484

Other identifiers 2

IdentifierTypeStateIssuer
55059034MedicaidKY
590009538OtherRRM

Other names 1

  • Covington Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080104000160 KY Part B Supplier - Ambulance Service Supplier 7012097991 Practice locations: Covington, KY

National Provider Directory

National Provider Directory

Locations

1255 Hands Pike
Covington, KY 41017
Phone (859) 292-2345

3315 Church St
Covington, KY 41015
Phone (859) 292-2345

1501 Holman Ave
Covington, KY 41011
Phone (859) 292-2345

100 E Robbins St
Covington, KY 41011
Phone (859) 292-2345

1502 Holman Ave
Covington, KY 41011
Phone (859) 292-2345

1105 Schrock Rd
Ste 610
Columbus, OH 43229

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1477551372",
    "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": "152519900",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E ROBBINS ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113122",
            "telephone_number": "859-431-0962",
            "fax_number": "859-292-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COVINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "ASST CHIEF",
        "authorized_official_telephone_number": "859-292-2345"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55059034",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "590009538",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covington Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Covington Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.