Healthcare Provider Details

I. General information

NPI: 1699774166
Provider Name (Legal Business Name): SOUTHERN CAMPBELL FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 06/03/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 RACE TRACK RD
ALEXANDRIA KY
41001-7704
US

IV. Provider business mailing address

836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 859-635-4444
  • Fax: 859-635-4432
Mailing address:
  • Phone: 800-676-4785
  • Fax: 304-522-4222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1387
License Number StateKY

VIII. Authorized Official

Name: JAMES BELL
Title or Position: CHIEF
Credential:
Phone: 859-635-4444