Active NPI
Adair County Ambulance Service
- Land Ambulance
- Columbia, KY
National Provider Identifier
1265498182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- ADAIR COUNTY AMBULANCE SERVICE
- Practice address
- 906 Wellness Way
Columbia, KY 42728-1147 - Phone
- (270) 384-4706
- Fax
- (270) 384-5533
- NPI assigned
- Apr 21, 2006
- Last updated
- Dec 31, 2024
- 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
- Daryl Flatt
- Title
- EMS Director
- Phone
- (270) 384-4706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
906 Wellness Way
Columbia, KY 42728-1147
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55001044 | Medicaid | KY | |
| 56003338 | 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 |
|---|---|---|---|---|
| O20120322000713 | KY | Part B Supplier - Ambulance Service Supplier | 1456511724 | Practice locations: Columbia, KY |
National Provider Directory
National Provider DirectoryLocations
906 Wellness Way
Columbia, KY 42728
Phone (270) 384-4706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1735603200000",
"number": "1265498182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 WELLNESS WAY",
"city": "COLUMBIA",
"state": "KY",
"postal_code": "427281147",
"telephone_number": "270-384-4706",
"fax_number": "270-384-5533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADAIR COUNTY AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-21",
"last_updated": "2024-12-31",
"certification_date": "2024-12-30",
"status": "A",
"authorized_official_last_name": "FLATT",
"authorized_official_first_name": "DARYL",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "270-384-4706"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55001044",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56003338",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, KY
- A Difference Place, LLC
- Aaron L. Brown
- Katie Jo Aaron, APRN
- Holly Danielle Absher, RBT
- Adair County Board of Education
- Adair County Hospital District (Westlake Regional Hospital)
- Adair County Hospital District
- Adair County Hospital District (Westlake Regional Hospital Behavioral Health)
- Adair County Hospital District (Westlake Primary Care NP Group)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.