Active NPI
Greenup County Ambulance Authority
- Land Ambulance
- Greenup, KY
National Provider Identifier
1295414175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- GREENUP COUNTY AMBULANCE AUTHORITY
- Practice address
- 1819 Ashland Rd
Greenup, KY 41144-1211 - Phone
- (606) 473-0157
- NPI assigned
- Jul 17, 2023
- Last updated
- Jul 26, 2023
- 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
- Kevin Callihan
- Title
- Director
- Phone
- (606) 473-0157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
1819 Ashland Rd
Greenup, KY 41144-1211
Mailing address
1819 Ashland Rd
Greenup, KY 41144-1211
Phone (606) 473-0157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240202003897 | KY | Part B Supplier - Ambulance Service Supplier | 3375986607 | Practice locations: South Shore, KY; Lynn, KY; Greenup, KY; Flatwoods, KY |
National Provider Directory
National Provider DirectoryLocations
347 James E Hannah Dr
South Shore, KY 41175
Phone (606) 473-0157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690329600000",
"number": "1295414175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 ASHLAND RD",
"city": "GREENUP",
"state": "KY",
"postal_code": "411441211",
"telephone_number": "606-473-0157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 ASHLAND RD",
"city": "GREENUP",
"state": "KY",
"postal_code": "411441211",
"telephone_number": "606-473-0157"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENUP COUNTY AMBULANCE AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A",
"authorized_official_last_name": "CALLIHAN",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "606-473-0157"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenup, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.