Provider Demographics
NPI:1598324410
Name:WATTS-CANEY VOLUNTEER FIRE DEPARTMENT, INC
Entity Type:Organization
Organization Name:WATTS-CANEY VOLUNTEER FIRE DEPARTMENT, INC
Other - Org Name:WATTS-CANEY FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBORNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-260-0275
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:LOST CREEK
Mailing Address - State:KY
Mailing Address - Zip Code:41348-0068
Mailing Address - Country:US
Mailing Address - Phone:606-260-0275
Mailing Address - Fax:
Practice Address - Street 1:11455 HIGHWAY 15 SOUTH
Practice Address - Street 2:
Practice Address - City:LOST CREEK
Practice Address - State:KY
Practice Address - Zip Code:41348
Practice Address - Country:US
Practice Address - Phone:606-272-6868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-13
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Single Specialty