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Organization

RED BIRD VOLUNTEER FIRE AND RESCUE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLIFFORD BERRY (CHIEF)
(606) 598-7744
Entity
Organization

Contact information

Practice address
31 QUEENDALE CTR, BEVERLY, KY 40913-9602
(606) 598-7744
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1583
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000070085
ANTHEM
KY
01
080012400
BLACK LUNG
KY
05
55026025
KY
05
56008097
KY
Enumeration date
07/18/2005
Last updated
07/07/2008
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