Organization
NORTHERN PENDLETON FIRE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM LEE FULLER (FIRE CHIEF)
(859) 472-5127
Entity
Organization
Contact information
Practice address
5900 KY HWY 154, BUTLER, KY 41006-9005
(859) 472-5127
(859) 472-5128
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
1587
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000032237
ANTHEM
KY
01
—
080049900
BLACK LUNG
KY
05
—
2398703
—
OH
05
—
55000590
—
KY
01
—
590015144
RAILROAD MEDICARE
KY
Enumeration date
07/18/2005
Last updated
10/10/2024
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