Organization
CITY OF PROVIDENCE OFFICE OF TREASURER
Active
Other names
PROVIDENCE FIRE DEPT - EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD CURRY (DIRECTOR)
(270) 667-2011
Entity
Organization
Contact information
Practice address
220 N WILLOW ST, PROVIDENCE, KY 42450-1273
(270) 667-2011
(270) 667-2012
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1331
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213260
ANTHEM BLUE CROSS
KY
01
—
086992600
FEDERAL BLACK LUNG PROGRAM
—
01
—
50009902
PASSPORT HEALTH - MA MCO
KY
05
—
55117014
—
KY
05
—
56004658
—
KY
01
—
631082
WELLCARE - MA MCO
KY
01
—
93147
COVENTRY HEALTHCARE - MA MCO
KY
Enumeration date
07/04/2005
Last updated
10/24/2014
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