Central Campbell County Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1560 Issued in KY

Legal business name

CENTRAL CAMPBELL COUNTY FIRE DISTRICT

Practice address

4113 Alexandria Pike
Cold Spring, KY 41076-1819

Phone

(859) 441-7631

Fax

(859) 781-5115

NPI assigned

Jul 14, 2005

Last updated

Oct 11, 2021By 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

Daniel G Schultz

Title

Chief

Phone

(859) 441-7631

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1598764334",
    "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": "15251",
            "telephone_number": "800-962-1484",
            "fax_number": "513-772-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 ALEXANDRIA PIKE",
            "city": "COLD SPRING",
            "state": "KY",
            "postal_code": "410761819",
            "telephone_number": "859-441-7631",
            "fax_number": "859-781-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CAMPBELL COUNTY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "SCHULTZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "859-441-7631"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHOICE CARE",
            "identifier": "CHOICE CARE C3569",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2369182",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000400",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56019128",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014761",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080648900",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000216161",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Brownfield, RPH
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• Ibeita Byrley, M.ED, BIA
• Caring Partners
• Mark Stephen Chisenhall, BA, LMT
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• Coldspring Transitional Care Center, LLC
• Community First Urgent Care, LLC.
• Todd M Cook, M.D.

• Ambulance in Cold Spring, KY
• Providers in Cold Spring, KY by specialty
• Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.