Provider Demographics
NPI:1821538802
Name:DRYDEN FIRE AND RESCUE
Entity Type:Organization
Organization Name:DRYDEN FIRE AND RESCUE
Other - Org Name:DRYDEN FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLANARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-275-4209
Mailing Address - Street 1:PO BOX 9150
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42002-9150
Mailing Address - Country:US
Mailing Address - Phone:270-744-9600
Mailing Address - Fax:270-744-8642
Practice Address - Street 1:961 DRYDEN LP.
Practice Address - Street 2:
Practice Address - City:DRYDEN
Practice Address - State:VA
Practice Address - Zip Code:24243-0206
Practice Address - Country:US
Practice Address - Phone:276-275-4209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-24
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance