Basic Information
| Provider Information | |||||||||
| NPI: | 1184622086 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BELLEVIEW MCVILLE FIRE PROTECTION DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 836 4TH AVE | ||||||||
| Address2: | |||||||||
| City: | HUNTINGTON | ||||||||
| State: | WV | ||||||||
| PostalCode: | 257011407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8006764785 | ||||||||
| FaxNumber: | 3045224222 | ||||||||
| Practice Location | |||||||||
| Address1: | 6900 MCVILLE RD | ||||||||
| Address2: | |||||||||
| City: | BURLINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410058660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8595866060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2005 | ||||||||
| LastUpdateDate: | 06/20/2013 | ||||||||
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| AuthorizedOfficialLastName: | HERMES | ||||||||
| AuthorizedOfficialFirstName: | JEFF | ||||||||
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| AuthorizedOfficialTitleorPosition: | CHIEF | ||||||||
| AuthorizedOfficialTelephone: | 8595866060 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 341600000X | 1480 | KY | Y | Transportation Services | Ambulance |
ID Information
| ID | Type | State | Issuer | Description | 55000350 | 05 | KY | MEDICAID | 2693232 | 05 | OH | MEDICAID | 000000489752 | 01 | KY | ANTHEM | OTHER | 610156530 | 01 | KY | TRICARE | OTHER | 590014528 | 01 | KY | RAILROAD MEDICARE | OTHER |