Organization Active NPI

Breathitt County Ambulance, Inc.

  • Land Ambulance
  • Jackson, KY
National Provider Identifier
1245637255
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1649 Issued in KY
Legal business name
BREATHITT COUNTY AMBULANCE, INC.
Practice address
440 Highway 1812 North
Jackson, KY 41339
Phone
(606) 666-8911
Fax
(606) 666-7922
NPI assigned
Nov 20, 2014
Last updated
Nov 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Danny McIntosh
Title
President
Phone
(606) 666-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1649 KY Primary

Addresses

Primary practice location

440 Highway 1812 North
Jackson, KY 41339

Mailing address

PO Box 170
440 Hwy 1812 N
Jackson, KY 41339-0170
Phone (606) 666-8911

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1245637255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "address_2": "440 HWY 1812 N",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413390170",
            "telephone_number": "606-666-8911",
            "fax_number": "606-666-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 HIGHWAY 1812 NORTH",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "41339",
            "telephone_number": "606-666-8911",
            "fax_number": "606-666-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATHITT COUNTY AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-666-8911"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.