Organization
CITY OF FLORENCE KY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY WREN (CHIEF)
(859) 647-5660
Entity
Organization
Contact information
Practice address
8101 DREAM ST, FLORENCE, KY 41042-1855
(859) 647-5660
(859) 647-5670
Mailing address
PO BOX 791631, BALTIMORE, MD 21279-1631
(800) 962-1484
(513) 772-4464
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1381
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110221
OHIO MEDICAID
—
05
—
55008023
—
KY
01
—
590008600
RR MEDICARE
—
Enumeration date
07/14/2005
Last updated
04/23/2025
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