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Organization

CUMBERLAND RIVER VOLUNTEER FIRE DEPARTMENT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA OSBORNE (CHIEF)
(606) 589-5930
Entity
Organization

Contact information

Practice address
13279 HWY 119 SOUTH, PARTRIDGE, KY 40862-6417
(606) 589-5930
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1635
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000070178
ANTHEM
KY
01
080029500
BLACK LUNG
KY
01
1064293
WV WORKERS COMP
WV
01
50008634
PASSPORT
KY
05
55067078
KY
05
56008253
KY
01
590012920
RAILROAD MEDICARE
KY
Enumeration date
07/14/2005
Last updated
04/28/2008
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