Anchorage Middletown Fire & EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ANCHORAGE MIDDLETOWN FIRE & EMS

Practice address

108 Urton LN
Louisville, KY 40223-3944

Phone

(502) 245-7555

Fax

(502) 245-8086

NPI assigned

Feb 26, 2018

Last updated

Nov 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith E Brooks

Title

Deputy Chief

Phone

(502) 245-7555

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1519603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1073014940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 URTON LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233944",
            "telephone_number": "502-245-7555",
            "fax_number": "502-245-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE MIDDLETOWN FIRE & EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-26",
        "last_updated": "2023-11-15",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "502-245-7555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "00000166938",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100545500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.