Organization
INDEPENDENCE FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM SCOTT BREEZE (CHIEF)
(859) 356-2011
Entity
Organization
Contact information
Practice address
1980 DELAWARE CROSSING, INDEPENDENCE, KY 41051
(859) 356-2011
(859) 356-3624
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9900
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1475
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000032125
ANTHEM
KY
05
—
0160007
—
OH
01
—
081143700
BLACK LUNG
KY
05
—
200379370A
—
IN
01
—
50013468
PASSPORT
KY
05
—
55059075
—
KY
01
—
590009462
RAILROAD MEDICARE
KY
Enumeration date
07/21/2005
Last updated
03/30/2022
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