Hardin County & Hardin County Jail

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1082 Issued in KY

Legal business name

HARDIN COUNTY & HARDIN COUNTY JAIL

Practice address

170 North Provident Way
Elizabethtown, KY 42701

Phone

(270) 769-3014

Fax

(270) 769-0387

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Mark Peterson

Title

EMS Director

Phone

(270) 769-3014

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• HARDIN COUNTY EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

• Hardin Memorial Hospital

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1619931466

  Member Of

  NPD member
• Hardin Memorial Hospital

  • Psychiatric Hospital Unit
  • Elizabethtown, KY
  • NPI 1750346359

  Member Of

  NPD member
• Hardin Professional Services, LLC

  • Diagnostic Radiology Physician
  • Elizabethtown, KY
  • NPI 1306894704

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1104887975",
    "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": "170 NORTH PROVIDENT WAY",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-769-3014",
            "fax_number": "270-769-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARDIN COUNTY & HARDIN COUNTY JAIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "270-769-3014"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590087617",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "1065175",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004039",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000070443",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55047039",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2434483000",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARDIN COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HARDIN COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Lynn Hancock, LPCC-S
• William R. Handley, M.D.
• John Joseph Hannifan, PH.D.
• Steve Hansel
• Nancy A Hansford
• Hardin County Board of Education
• Hardin County Imaging, LLC
• Hardin County Primary Care PLLC
• Hardin Ky Opco LLC
• Hardin Memorial Hospital

• Land Ambulance in Elizabethtown, KY
• Providers in Elizabethtown, 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 11, 2024; 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.