Healthcare Provider Details

I. General information

NPI: 1922006857
Provider Name (Legal Business Name): CAMPBELL COUNTY FIRE PROTECTION DISTRICT ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 11/27/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6844 FOUR MILE RD
MELBOURNE KY
41059-9506
US

IV. Provider business mailing address

CAMPBELL COUNTY FIRE PROTECTION DISTRICT ONE 836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 859-635-9255
  • Fax: 859-441-0394
Mailing address:
  • Phone: 304-521-1576
  • Fax: 304-521-1576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1481
License Number StateKY

VIII. Authorized Official

Name: WAYNE WERRMANN JR.
Title or Position: EMS CHIEF
Credential:
Phone: 859-635-9256