LEFT BEAVER CIVIL DEFENSE & RESCUE SQUAD, INC.; NPI #1578520318

Contact Information

LEFT BEAVER CIVIL DEFENSE & RESCUE SQUAD, INC.

15990 KY HWY 122
HI HAT, KY 41636

Phone: 606-377-6643
Fax: 606-377-2888
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for LEFT BEAVER CIVIL DEFENSE & RESCUE SQUAD, INC.

NPI Number 1578520318

LBN Legal business name LEFT BEAVER CIVIL DEFENSE & RESCUE SQUAD, INC.

Authorized official SHANNON HALL - (EMS DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/26/2006

Last updated 10/14/2010 - About 16 years ago

Identifiers

KY	License #	1403
KY	Medicaid	55036065
KY	Medicaid	56005457
OH	Medicaid	2588650
KY	Other	089857100	BLACK LUNG
KY	Other	000000070497	BLUE CROSS BLUE SHIELD
KY	Other	590008357	RAILROAD MEDICARE
KY	Other	1264125	UNITED MINE WORKERS

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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LEFT BEAVER CIVIL DEFENSE & RESCUE SQUAD, INC.

Contact Information

Specialty

Land Transport

NPI Profile & details for LEFT BEAVER CIVIL DEFENSE & RESCUE SQUAD, INC.

Reviews for LEFT BEAVER CIVIL DEFENSE & RESCUE SQUAD, INC.