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Organization

CENTRAL CAMPBELL COUNTY FIRE DISTRICT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL G SCHULTZ (CHIEF)
(859) 441-7631
Entity
Organization

Contact information

Practice address
4113 ALEXANDRIA PIKE, COLD SPRING, KY 41076-1819
(859) 441-7631
(859) 781-5115
Mailing address
PO BOX 392907, PITTSBURGH, PA 15251
(800) 962-1484
(513) 772-4464

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1560
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000216161
ANTHEM
KY
01
080648900
BLACK LUNG
KY
05
2369182
OH
05
55000400
KY
05
56019128
KY
01
590014761
RAILROAD MEDICARE
KY
01
CHOICE CARE C3569
CHOICE CARE
KY
Enumeration date
07/14/2005
Last updated
10/11/2021
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