Provider Demographics
NPI:1295734051
Name:CITY OF FT. WRIGHT
Entity type:Organization
Organization Name:CITY OF FT. WRIGHT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-331-2600
Mailing Address - Street 1:836 4TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25701
Mailing Address - Country:US
Mailing Address - Phone:304-522-7533
Mailing Address - Fax:304-522-4222
Practice Address - Street 1:409 KYLES LN
Practice Address - Street 2:
Practice Address - City:FORT WRIGHT
Practice Address - State:KY
Practice Address - Zip Code:41011-3743
Practice Address - Country:US
Practice Address - Phone:859-331-2600
Practice Address - Fax:859-331-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-14
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1477341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY50016080OtherPASSPORT
KY000000069984OtherANTHEM
KY55059125Medicaid
OH2354438Medicaid
KY=========OtherTRICARE
KY50016080OtherPASSPORT
KY=========OtherUMWA
KY55059125Medicaid