Active NPI
City of Covington
- Ambulance
- Covington, KY
National Provider Identifier
1477551372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1304
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55059034 | Medicaid | KY | |
| 590009538 | Other | RRM |
Other names 1
- Covington Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080104000160 | KY | Part B Supplier - Ambulance Service Supplier | 7012097991 | Practice locations: Covington, KY |
National Provider Directory
National Provider DirectoryLocations
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.