Healthcare Provider Details

I. General information

NPI: 1346240165
Provider Name (Legal Business Name): WALTON FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2005
Last Update Date: 10/11/2021
Certification Date: 10/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12600 TOWN CENTER DR
WALTON KY
41094
US

IV. Provider business mailing address

PO BOX 392907
PITTSBURGH PA
15251
US

V. Phone/Fax

Practice location:
  • Phone: 859-485-7439
  • Fax: 859-485-4161
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1123
License Number StateKY

VIII. Authorized Official

Name: JOEY VEST
Title or Position: ASST. CHIEF
Credential:
Phone: 859-485-7439