Healthcare Provider Details

I. General information

NPI: 1124026935
Provider Name (Legal Business Name): NEON VOLUNTEER FIRE DEPARTMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 05/10/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 HIGHWAY 317
NEON KY
41840-9091
US

IV. Provider business mailing address

836 4TH AVE
HUNTINGTON WV
25701-1407
US

V. Phone/Fax

Practice location:
  • Phone: 606-855-7303
  • Fax: 606-212-1087
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 Number1655
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1354
License Number StateKY

VIII. Authorized Official

Name: CARTER BEVINS
Title or Position: CHIEF
Credential:
Phone: 606-856-7303