Whitley County County Treasurer

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1619 Issued in KY

Legal business name

WHITLEY COUNTY COUNTY TREASURER

Doing business as

Whitley County EMS

Practice address

994 Aviation Blvd
Williamsburg, KY 40769-9884

Phone

(606) 539-0867

Fax

(606) 539-9025

NPI assigned

Jul 4, 2005

Last updated

Jun 11, 2013By 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

Ms. Kelly Harrison

Title

Director

Phone

(606) 539-0867

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• WHITLEY COUNTY EMS Doing business as

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": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370908800000",
    "number": "1184621369",
    "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": "994 AVIATION BLVD",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407699884",
            "telephone_number": "606-539-0867",
            "fax_number": "606-539-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITLEY COUNTY COUNTY TREASURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2013-06-11",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-539-0867",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55118053",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRAM",
            "identifier": "205044500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56017866",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582224",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000191494",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WHITLEY COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• We Care Home Care, LLC
• Welllife Chiropractic Center
• Beverly White
• Jonathan Tyler White, PA
• Whitley County Board of Education
• Whitley County Health Department
• Whitley County Health Department
• Whitley County Health Dept,
• Whitley County Health Dept.
• Whitley County Health Dept.

• Land Ambulance in Williamsburg, KY
• Providers in Williamsburg, 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, 2013; 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.