Healthcare Provider Details

I. General information

NPI: 1558360313
Provider Name (Legal Business Name): ELSMERE FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 05/14/2024
Certification Date: 05/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 GARVEY AVE
ELSMERE KY
41018-2132
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 859-342-7505
  • Fax: 859-342-2292
Mailing address:
  • Phone: 800-962-1484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1433
License Number StateKY

VIII. Authorized Official

Name: PAUL LAFONTAINE
Title or Position: CHIEF
Credential:
Phone: 859-342-7505