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Organization

FIRE DEPARTMENT OF BELLEVUE DAYTON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT SCHAFER (CHIEF)
(859) 261-0083
Entity
Organization

Contact information

Practice address
514 6TH AVENUE, DAYTON, KY 41074-1142
(859) 261-0083
(859) 261-2578
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251-9907
(800) 962-1484

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1127
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000244999
ANTHEM
KY
05
0142063
OH
01
080041000
BLACK LUNG
KY
01
1170609 NON-PAR
PASSPORT
KY
05
55000640
KY
05
56022015
KY
01
590015206
RAILROAD MEDICARE
KY
01
61140724
TRICARE
KY
01
612866500
FEDERAL LABOR
KY
Enumeration date
07/13/2005
Last updated
10/22/2024
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