Woodford County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1275 Issued in KY

Legal business name

WOODFORD COUNTY

Doing business as

Woodford Co Ambulance Service

Practice address

86 Big Sink Rd
Versailles, KY 40383

Phone

(859) 873-8161

Fax

(859) 873-8057

NPI assigned

Jul 2, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Freeman Bailey

Title

Director

Phone

(859) 873-8161

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Woodford Co Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1003845751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BIG SINK RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831556",
            "telephone_number": "859-873-8161",
            "fax_number": "859-873-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BIG SINK RD",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "40383",
            "telephone_number": "859-873-8161",
            "fax_number": "859-873-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFORD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "FREEMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-873-8161"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2434752000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UNISYS 56",
            "identifier": "56004948",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "0721379",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000070461",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "1069329",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL MEDICARE",
            "identifier": "8020101",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UNISYS 55",
            "identifier": "55120018",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012372",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodford Co Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodford Co Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaclynn Anderson Williams, R.D.
• Taylor Morgan Wilson
• Jaime Wogerman, RN, BSN
• Wood Chiropractic Center, Inc.
• Brandon Lucas Wood, D.C.
• Woodford County Board of Education
• Woodford County Health Department
• Woodford Family Chiropractic LLC
• Woodford Family Physicians, PSC
• Woodford Hospital LLC

• Land Ambulance in Versailles, KY
• Providers in Versailles, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.