Elliott County Ambulance Service
Organization Active NPI Land Ambulance · Sandy Hook, KY
NPI 1013958164 · NPPES record last updated Jun 23, 2026
Key facts
- NPI
- 1013958164
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1178 (KY)
- Legal business name
- ELLIOTT COUNTY AMBULANCE SERVICE
- Practice address
- 59 Ambulance Rd
Sandy Hook, KY 41171 - Phone
- (606) 738-4132
- Fax
- (606) 738-6667
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Kevin Winkleman
- Title
- Director
- Phone
- (606) 738-4132
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031120000274 | KY | Part B Supplier - Ambulance Service Supplier | 8921902115 | Practice locations: Sandy Hook, KY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1178 | KY | Yes |
Addresses
Primary practice location
59 Ambulance Rd
Sandy Hook, KY 41171
Mailing address
PO Box 589
Madisonville, KY 42431-5011
Phone (270) 824-8123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000220515 | Other | KY | BLUE CROSS BLUE SHIELD |
| 55000673 | Medicaid | KY | |
| 080044800 | Other | KY | BLACK LUNG |
| 080044800 | Other | KY | US DEPARTMENT OF LABOR |
| 56022023 | Medicaid | KY | |
| 590015174 | Other | KY | RAILROAD MEDICARE |
Other providers in Sandy Hook, KY
- Discount Drug Mart, Inc
- Diversicare Leasing Corp.
- Dr. Kimberly a. Buckner, P.L.C.
- Carla Dianne Dyer
- Kara Elam
- Elliott County Health Center
- Elliott County Schools
- Elliott Nursing and Rehabilitation LLC
- Sally A Ferguson
- Rebecca L Fulks
All providers in Sandy Hook, KY · Land Ambulance in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.