Provider Demographics
NPI:1336147248
Name:FIRE DEPARTMENT OF BELLEVUE DAYTON
Entity Type:Organization
Organization Name:FIRE DEPARTMENT OF BELLEVUE DAYTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ADKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-261-0083
Mailing Address - Street 1:PO BOX 392907
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15251-9907
Mailing Address - Country:US
Mailing Address - Phone:800-962-1484
Mailing Address - Fax:
Practice Address - Street 1:514 6TH AVENUE
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:KY
Practice Address - Zip Code:41074-1142
Practice Address - Country:US
Practice Address - Phone:859-261-0083
Practice Address - Fax:859-261-2578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1127341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000244999OtherANTHEM
KY612866500OtherFEDERAL LABOR
OH0142063Medicaid
KY080041000OtherBLACK LUNG
KY590015206OtherRAILROAD MEDICARE
KY1170609 NON-PAROtherPASSPORT
KY61140724OtherTRICARE
KY56022015Medicaid
KY55000640Medicaid
KY=========OtherUMWA
KY55000640Medicaid
KY8051101Medicare PIN