Organization
CAMPBELL COUNTY FIRE PROTECTION DISTRICT ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNE WERRMANN JR. (EMS CHIEF)
(859) 635-9256
Entity
Organization
Contact information
Practice address
6844 FOUR MILE RD, MELBOURNE, KY 41059-9506
(859) 635-9255
(859) 441-0394
Mailing address
CAMPBELL COUNTY FIRE PROTECTION DISTRICT ONE, 836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1481
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000265316
ANTHEM
KY
01
—
080041400
BLACK LUNG
KY
05
—
2390041
—
OH
05
—
55000574
—
KY
05
—
56021074
—
KY
01
—
590015193
RAILROAD MEDICARE
KY
01
—
=========
UMWA
KY
Enumeration date
07/13/2005
Last updated
11/27/2024
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