Organization
BKP AMBULANCE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHESTER E MILLS (OPERATIONS SUPERVISOR)
(419) 674-4574
Entity
Organization
Contact information
Practice address
439 S MAIN ST, KENTON, OH 43326-1946
(419) 674-4574
(419) 673-1024
Mailing address
439 S MAIN ST, KENTON, OH 43326-1946
(419) 674-4574
(419) 673-1024
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
51424493
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000155404
ANTHEM
OH
01
—
0004504855
AETNA
OH
05
—
0263772
—
OH
01
—
144529XX
PREFERRED CARE HMO
OH
Enumeration date
07/06/2005
Last updated
05/05/2015
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