Organization
PINER FISKBURG AMBULANCE SER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MILLER (CHIEF)
(859) 356-6916
Entity
Organization
Contact information
Practice address
1851 BRACHT PINER RD, MORNING VIEW, KY 41063-9650
(859) 356-6916
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
1578
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070210
ANTHEM
KY
05
—
55000855
—
KY
Enumeration date
07/18/2005
Last updated
04/20/2008
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