Organization
CITY OF DRY RIDGE KENTUCKY
Active
Other names
Dry Ridge Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN STAVE FIRE FIGHTER PARAMED (EMS COORDINATOR)
(859) 824-9158
Entity
Organization
Contact information
Practice address
17 RACE ST, PO BOX 145, DRY RIDGE, KY 41035-0145
(859) 824-9158
(859) 824-9160
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1641
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000216660
BLUE CROSS BLUE SHIELD
KY
01
—
2443269000
PASSPORT ADVANTAGE
KY
05
—
2546856
—
OH
05
—
4582348
—
TN
05
—
4718020
—
MI
01
—
50001700
PASSPORT HEALTH
KY
05
—
55000343
—
KY
01
—
590014599
RAILROAD MEDICARE
KY
Enumeration date
07/01/2006
Last updated
10/06/2025
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