Active NPI
Knox County Ambulance Service
- Land Ambulance
- Barbourville, KY
National Provider Identifier
1265431175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1285
- Legal business name
- KNOX COUNTY AMBULANCE SERVICE
- Practice address
- 223 Gregory Lane
Barbourville, KY 40906 - Phone
- (606) 546-9722
- Fax
- (606) 546-2106
- NPI assigned
- Jul 21, 2005
- Last updated
- Aug 30, 2019
- 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
- Martha Sue Brooks
- Title
- Billing / Data Management
- Phone
- (606) 546-9722
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1285 | KY | Primary |
Addresses
Primary practice location
223 Gregory Lane
Barbourville, KY 40906
Mailing address
PO Box 1539
Barbourville, KY 40906-5539
Phone (606) 546-9722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55061030 | Medicaid | KY | |
| 7100252660 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040507000006 | KY | Part B Supplier - Ambulance Service Supplier | 1254320187 |
1 other NPI on this enrollment Practice locations: Corbin, KY; Barbourville, KY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Knox County Ambulance S
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Corbin, KY
- NPI 1780868703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1567123200000",
"number": "1265431175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1539",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "409065539",
"telephone_number": "606-546-9722",
"fax_number": "606-546-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 GREGORY LANE",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "40906",
"telephone_number": "606-546-9722",
"fax_number": "606-546-2106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOX COUNTY AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2019-08-30",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "BILLING / DATA MANAGEMENT",
"authorized_official_telephone_number": "606-546-9722"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KY",
"license": "1285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55061030",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100252660",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.