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Organization

ANCHORAGE AMBULANCE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEITH BROOKS (DEPUTY CHIEF/DIRECTOR)
(502) 376-1278
Entity
Organization

Contact information

Practice address
1400 EVERGREEN RD, ANCHORAGE, KY 40223-1418
(502) 245-6755
(502) 245-9029
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701
(800) 676-4785
(304) 522-4222

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1431
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000070175
ANTHEM
KY
01
00001183289
CHA
KY
01
1064754
PASSPORT
KY
05
200203420A
IN
01
2434468000
PASSPORT ADVANTAGE
KY
05
55056162
KY
05
56029705
KY
01
590011748
RAILROAD MEDICARE
KY
Enumeration date
07/13/2005
Last updated
12/12/2022
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