Oldham County Ambulance Taxing District

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1633 Issued in KY

Legal business name

OLDHAM COUNTY AMBULANCE TAXING DISTRICT

Practice address

1101 New Moody LN
La Grange, KY 40031-9124

Phone

(502) 222-7250

Fax

(502) 222-7282

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Deborah Berry

Title

EMS Director

Phone

(502) 222-7250

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782172800000",
    "number": "1083765127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319124",
            "telephone_number": "502-222-7250",
            "fax_number": "502-222-7282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3639 W Highway 146",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400319752",
            "country_code": "US",
            "telephone_number": "502-222-7250",
            "fax_number": "502-222-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3639 W Highway 146",
            "address_purpose": "LOCATION",
            "city": "LA Grange",
            "state": "KY",
            "postal_code": "400319752",
            "country_code": "US",
            "telephone_number": "502-222-7250",
            "fax_number": "502-222-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OLDHAM COUNTY AMBULANCE TAXING DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "502-222-7250"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000070284",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1092934",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55093058",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56015712",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH MEDICAID MCO",
            "identifier": "98088",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012776",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Northrip
• Michael Raymond Norville, DO
• Selina Ann O'Coffey, LMFT
• Oak Tree Hospital at Baptist Northeast, LLC
• Eziamara Oguibe-Shepherd, OTR/L
• Oldham County Emergency Physicians, LLC
• Oldham County Ministerial Association
• Oldham County Pediatrics, PLLC
• Oldham Pharmacist Group
• Amanda Orr, LPCC

• Land Ambulance in La Grange, KY
• Providers in La Grange, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.