Provider Demographics
NPI:1124026935
Name:NEON VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:NEON VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CARTER
Authorized Official - Middle Name:
Authorized Official - Last Name:BEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-855-7303
Mailing Address - Street 1:836 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701-1407
Mailing Address - Country:US
Mailing Address - Phone:800-676-4785
Mailing Address - Fax:304-522-4222
Practice Address - Street 1:50 RESCUE ST STE A
Practice Address - Street 2:
Practice Address - City:NEON
Practice Address - State:KY
Practice Address - Zip Code:41840-9000
Practice Address - Country:US
Practice Address - Phone:606-855-7303
Practice Address - Fax:606-855-4094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1655341600000X
KY13543416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY080843500OtherBLACK LUNG
KY7100010910Medicaid
KY000000317417OtherANTHEM
KY590008446OtherRAILROAD MEDICARE
KY56004500Medicaid
VA9014543Medicaid
KY=========OtherUMWA
KY080843500OtherBLACK LUNG
OH=========00OtherOHIO WORKERS COMP
VA9014543Medicaid