Provider Demographics
NPI:1528605532
Name:FERN CREEK FIRE PROTECTION DISTRICT HOLDING COMPANY INC.
Entity Type:Organization
Organization Name:FERN CREEK FIRE PROTECTION DISTRICT HOLDING COMPANY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:BS, EMT-P
Authorized Official - Phone:502-239-7075
Mailing Address - Street 1:PO BOX 91025
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-0025
Mailing Address - Country:US
Mailing Address - Phone:502-657-1216
Mailing Address - Fax:
Practice Address - Street 1:6200 BARDSTOWN RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-3004
Practice Address - Country:US
Practice Address - Phone:502-744-8820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport