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NPI Code Detail

MEDICARE: EASTWOOD FIRE DISTRICT

MEDICARE: EASTWOOD FIRE DISTRICT
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
13416L0300XLand Ambulance

General Provider Information

NPI Number : 1518434208
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTWOOD FIRE DISTRICT
Provider Business Mailing Address
First Line : 836 4TH AVE
Second Line :
City : HUNTINGTON
State : WV
Zip : 25701-1407
Country : US
Telephone Number : 304-521-1576
Fax Number : 304-521-1768
Provider Business Practice Location Address
First Line : 16010 SHELBYVILLE RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40245-4150
Country : US
Telephone Number : 502-245-1400
Fax Number :
Authorized Official
Title or Position : CHIEF
Name : THOMAS ARNOLD
Credential :
Telephone Number : 502-245-1400
Provider Enumeration Date : 10/31/2018
Last Update Date : 10/31/2018

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Directions to “EASTWOOD FIRE DISTRICT ” Practice Location

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