Fairdale Fire Protection District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FAIRDALE FIRE PROTECTION DISTRICT

Practice address

10015 Mitchell Hill Rd
Fairdale, KY 40118-9005

Phone

(502) 366-0122

NPI assigned

Aug 28, 2025

Organization subpart

No

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

Authorized official

Name

Mary Taylor

Title

EMS Chief

Phone

(502) 714-3119

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1720967326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 MITCHELL HILL RD",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "401189005",
            "telephone_number": "502-366-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRDALE FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "502-714-3119"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel L Brown Jr., M.D.
• Christopher David
• Andrea Edwards, LPN
• Valeri Elzy, LMT
• Mary Tyler Ewald, D.M.D.
• Family Health Centers, Inc.
• Terrica Michelle Flowers, APRN
• Susan E Hagan, M.D.
• Krista R Hefty, LMT
• Intrinzik Health Care Services

• Land Ambulance in Fairdale, KY
• Providers in Fairdale, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.