MEDICARE: COVINGTON FIRE & RESCUE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	341600000X	Ambulance	02118145113	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590013773	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	000000006076	OTHER	OH	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205836368
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COVINGTON FIRE & RESCUE INC

Provider Business Mailing Address
First Line	:	801 E BROADWAY ST
Second Line	:
City	:	COVINGTON
State	:	OH
Zip	:	45318-1752
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	801 E BROADWAY ST
Second Line	:
City	:	COVINGTON
State	:	OH
Zip	:	45318-1752
Country	:	US
Telephone Number	:	937-473-2905
Fax Number	:

Authorized Official
Title or Position	:	ASSISTANT EMS CHIEF
Name	:	BRADLEY W WEER
Credential	:
Telephone Number	:	937-473-2101

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	11/19/2024

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Directions to “COVINGTON FIRE & RESCUE INC ” Practice Location

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