Organization Active NPI

City of Middlesboro

Doing business as Middlesboro Fire Department Ambulance

  • Land Ambulance
  • Middlesboro, KY
National Provider Identifier
1275583577
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1439 Issued in KY
Legal business name
CITY OF MIDDLESBORO
Doing business as
Middlesboro Fire Department Ambulance
Practice address
121 E Lothbury Ave
Middlesboro, KY 40965-2845
Phone
(606) 670-5014
Fax
(606) 248-2168
NPI assigned
May 10, 2006
Last updated
Jun 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Mr. Robert England
Title
EMS Director
Phone
(606) 670-5014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1439 KY Primary

Addresses

Primary practice location

121 E Lothbury Ave
Middlesboro, KY 40965-2845

Mailing address

PO Box 589
Madisonville, KY 42431-5011
Phone (270) 824-8123

Other identifiers 10

IdentifierTypeStateIssuer
590000492OtherKYRAILROAD MEDICARE
2444347000OtherKYPASSPORT ADVANTAGE
56003692MedicaidKY
010085713MedicaidVA
086252100OtherKYBLACK LUNG
55007058MedicaidKY
000000070466OtherKYBLUE CROSS BLUE SHIELD
0941689OtherKYUNITED MINE WORKERS
4581343MedicaidTN
50002872MedicaidKY

Other names 1

  • Middlesboro Fire Department Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040615000628 KY Part B Supplier - Ambulance Service Supplier 7618951989 Practice locations: Middlesboro, KY

National Provider Directory

National Provider Directory

Locations

121 E Lothbury Ave
Middlesboro, KY 40965
Phone (606) 242-2332

215 N 20th St
Middlesboro, KY 40965
Phone (606) 242-2332

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1275583577",
    "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": "270-821-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E LOTHBURY AVE",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409652845",
            "telephone_number": "606-670-5014",
            "fax_number": "606-248-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MIDDLESBORO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "ENGLAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "606-670-5014",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590000492",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2444347000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56003692",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085713",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "086252100",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55007058",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000070466",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "0941689",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4581343",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50002872",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Middlesboro Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middlesboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.