Active NPI
Harlan Emergency Medical Services Corporation
- Land Ambulance
- Harlan, KY
National Provider Identifier
1114969755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1303
- Legal business name
- HARLAN EMERGENCY MEDICAL SERVICES CORPORATION
- Practice address
- 151 Anderson St
Harlan, KY 40831-7275 - Phone
- (606) 573-2705
- Fax
- (606) 573-9777
- NPI assigned
- Jun 11, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa D Johnson
- Title
- Vice-President
- Phone
- (606) 573-2721
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1303 | KY | Primary |
Addresses
Primary practice location
151 Anderson St
Harlan, KY 40831-7275
Mailing address
PO Box 169
Harlan, KY 40831
Phone (606) 573-2705
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00163744 | Other | KY | RAILROAD MEDICARE |
| 000000352805 | Other | KY | BLUE CROSS BLUE SHIELD |
| 56027832 | Medicaid | KY | |
| 08062400 | Other | KY | BLACK LUNG |
| 1088073 | Other | KY | PASSPORT HEALTH |
| 55001127 | Medicaid | KY |
Other names 1
- Harlan EMS
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431388800000",
"number": "1114969755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 169",
"city": "HARLAN",
"state": "KY",
"postal_code": "40831",
"telephone_number": "606-573-2705",
"fax_number": "606-573-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 ANDERSON ST",
"city": "HARLAN",
"state": "KY",
"postal_code": "408317275",
"telephone_number": "606-573-2705",
"fax_number": "606-573-9777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARLAN EMERGENCY MEDICAL SERVICES CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-11",
"last_updated": "2015-05-12",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "606-573-2721"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KY",
"license": "1303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00163744",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "000000352805",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56027832",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "08062400",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT HEALTH",
"identifier": "1088073",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55001127",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Harlan EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harlan, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.