Organization Active NPI

Harlan Emergency Medical Services Corporation

  • Land Ambulance
  • Harlan, KY
National Provider Identifier
1114969755
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1303 Issued in KY
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

Updated by the provider on May 12, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00163744OtherKYRAILROAD MEDICARE
000000352805OtherKYBLUE CROSS BLUE SHIELD
56027832MedicaidKY
08062400OtherKYBLACK LUNG
1088073OtherKYPASSPORT HEALTH
55001127MedicaidKY

Other names 1

  • Harlan EMS Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.