Provider Demographics
NPI:1558360313
Name:ELSMERE FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:ELSMERE FIRE PROTECTION DISTRICT
Other - Org Name:ELSMERE RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFONTAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-342-7505
Mailing Address - Street 1:10361 SPARTAN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-1220
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:401 GARVEY AVE
Practice Address - Street 2:
Practice Address - City:ELSMERE
Practice Address - State:KY
Practice Address - Zip Code:41018-2132
Practice Address - Country:US
Practice Address - Phone:859-342-7505
Practice Address - Fax:859-342-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1433341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000039208OtherANTHEM
KY089876800OtherBLACK LUNG
KY55059059Medicaid
KYC21170OtherCHOICE CARE
KY590009377OtherRAILROAD MEDICARE
OH0886680Medicaid
KY55059059Medicaid
KY000000039208OtherANTHEM
KY590009377OtherRAILROAD MEDICARE
OH0886680Medicaid