MEDICARE: CITY OF COVINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	1304	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	590009538	OTHER		RRM

General Provider Information

NPI Number	:	1477551372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF COVINGTON

Provider Business Mailing Address
First Line	:	PO BOX 392907
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15251-9900
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E ROBBINS ST
Second Line	:
City	:	COVINGTON
State	:	KY
Zip	:	41011-3122
Country	:	US
Telephone Number	:	859-431-0962
Fax Number	:	859-292-2179

Authorized Official
Title or Position	:	ASST CHIEF
Name	:	GARY RUCKER
Credential	:
Telephone Number	:	859-292-2345

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	07/03/2024

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Directions to “CITY OF COVINGTON ” Practice Location

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