1336149582 NPI number — HEBRON FIRE PROTECTION DISTRICT

Table of content: (NPI 1336149582)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336149582 NPI number — HEBRON FIRE PROTECTION DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEBRON FIRE PROTECTION DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336149582
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/14/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 392907
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15251-9907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-612-3158
Provider Business Mailing Address Fax Number:
513-612-3398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3120 NORTH BEND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HEBRON
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41048-8465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
859-586-9009
Provider Business Practice Location Address Fax Number:
859-586-9059
Provider Enumeration Date:
07/29/2005

Additional Information

Authorized Official

Authorized Official Last Name:
SCHEBEN
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
Authorized Official Title or Position:
CAPTAIN
Authorized Official Telephone Number:
859-586-9009

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  1476 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 083344600 . This is a "BLACK LUNG" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 200272350A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2203485 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000039196 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 55008056 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 590013930 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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