Healthcare Provider Details

I. General information

NPI: 1205836368
Provider Name (Legal Business Name): COVINGTON FIRE & RESCUE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E BROADWAY ST
COVINGTON OH
45318-1752
US

IV. Provider business mailing address

801 E BROADWAY ST
COVINGTON OH
45318-1752
US

V. Phone/Fax

Practice location:
  • Phone: 937-473-2905
  • Fax:
Mailing address:
  • Phone: 800-962-1484
  • Fax: 513-772-4464

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number02118145113
License Number StateOH

VIII. Authorized Official

Name: BRADLEY W WEER
Title or Position: ASSISTANT EMS CHIEF
Credential:
Phone: 937-473-2101