Basic Information
Provider Information
NPI: 1437742400
EntityType: 2
ReplacementNPI:  
OrganizationName: RED WHITE AND BLUE FIRE PROTECTION DISTRICT
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Mailing Information
Address1: PO BOX 9150
Address2:  
City: PADUCAH
State: KY
PostalCode: 420029150
CountryCode: US
TelephoneNumber: 2707448413
FaxNumber: 2707448642
Practice Location
Address1: 316 N. MAIN STREET
Address2:  
City: BRECKENRIDGE
State: CO
PostalCode: 80424
CountryCode: US
TelephoneNumber: 9704532474
FaxNumber: 9704531350
Other Information
ProviderEnumerationDate: 02/19/2021
LastUpdateDate: 02/19/2021
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AuthorizedOfficialLastName: KEATING
AuthorizedOfficialFirstName: JAMES
AuthorizedOfficialMiddleName: JOSEPH
AuthorizedOfficialTitleorPosition: FIRE CHIEF
AuthorizedOfficialTelephone: 9704532474
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 02/01/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
3416L0300X  Y Transportation ServicesAmbulanceLand Transport

No ID Information.


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