Healthcare Provider Details

I. General information

NPI: 1336149582
Provider Name (Legal Business Name): HEBRON FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 NORTH BEND RD
HEBRON KY
41048-8465
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251-9907
US

V. Phone/Fax

Practice location:
  • Phone: 859-586-9009
  • Fax: 859-586-9059
Mailing address:
  • Phone: 513-612-3158
  • Fax: 513-612-3398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1476
License Number StateKY

VIII. Authorized Official

Name: ADAM N PEDDICORD
Title or Position: FIRE CHIEF
Credential:
Phone: 859-586-9009