Healthcare Provider Details

I. General information

NPI: 1477551372
Provider Name (Legal Business Name): CITY OF COVINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E ROBBINS ST
COVINGTON KY
41011-3122
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9900
US

V. Phone/Fax

Practice location:
  • Phone: 859-431-0962
  • Fax: 859-292-2179
Mailing address:
  • Phone: 800-962-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1304
License Number StateKY

VIII. Authorized Official

Name: GARY RUCKER
Title or Position: ASST CHIEF
Credential:
Phone: 859-292-2345