Organization
FIRST RESPONSE AMBULANCE SERVICE INC
Active
Other names
First Response Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FAIRLIE (PRESIDENT)
(314) 489-8446
Entity
Organization
Contact information
Practice address
209 DEPOT RD, PAINTSVILLE, KY 41240-1413
(606) 886-9845
(606) 886-0834
Mailing address
171 ABBOTT CREEK ROAD STE 1, PRESTONSBURG, KY 41653-0171
(606) 886-9845
(606) 886-0834
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1607
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55058085
—
KY
05
—
56005788
—
KY
Enumeration date
02/08/2007
Last updated
04/26/2011
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