Organization Active NPI

Greenup County Ambulance Authority

  • Land Ambulance
  • Greenup, KY
National Provider Identifier
1295414175
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.