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Organization

ANCHORAGE MIDDLETOWN FIRE & EMS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH E BROOKS (DEPUTY CHIEF)
(502) 245-7555
Entity
Organization

Contact information

Practice address
108 URTON LN, LOUISVILLE, KY 40223-3944
(502) 245-7555
(502) 245-8086
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000166938
ANTHEM BLUE SHIELD
KY
05
7100545500
KY
Enumeration date
02/26/2018
Last updated
11/15/2023
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