City of Edgewood Kentucky

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1500 Issued in KY

Legal business name

CITY OF EDGEWOOD KENTUCKY

Doing business as

Edgewood Fire and EMS

Practice address

385 Dudley Road
Edgewood, KY 41017

Phone

(859) 341-2628

NPI assigned

Jul 19, 2005

Last updated

May 17, 2024By 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

Tom Dickman

Title

Chief

Phone

(859) 341-2628

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Edgewood Fire and 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": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1235138553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392907",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519907",
            "telephone_number": "800-962-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 DUDLEY ROAD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF EDGEWOOD KENTUCKY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "DICKMAN",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "859-341-2628"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013526",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55059182",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000066932",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001705669",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewood Fire and EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Reid Chavez
• Michael D. Chitwood, OCCUPATIONAL THERAPI
• Minsig Choi, MD
• George Clifton Christensen III, DO
• Amy Irene Christopher, PHARM.D.
• Peyton Clark, RBT
• Brian Clarke, MD
• McKenzie Clary, RBT
• Monica M Clary, A.P.R.N.
• Louis Edward Claybon, MD

• Ambulance in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.