Healthcare Provider Details

I. General information

NPI: 1598764334
Provider Name (Legal Business Name): CENTRAL CAMPBELL COUNTY FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 10/11/2021
Certification Date: 10/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4113 ALEXANDRIA PIKE
COLD SPRING KY
41076-1819
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251
US

V. Phone/Fax

Practice location:
  • Phone: 859-441-7631
  • Fax: 859-781-5115
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1560
License Number StateKY

VIII. Authorized Official

Name: DANIEL G SCHULTZ
Title or Position: CHIEF
Credential:
Phone: 859-441-7631