Active NPI
Walton Fire Protection District
- Land Ambulance
- Walton, KY
National Provider Identifier
1346240165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1123
- Legal business name
- WALTON FIRE PROTECTION DISTRICT
- Practice address
- 12600 Town Center Dr
Walton, KY 41094 - Phone
- (859) 485-7439
- Fax
- (859) 485-4161
- NPI assigned
- Jul 22, 2005
- Last updated
- Oct 11, 2021
- 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
- Joey Vest
- Title
- Asst. Chief
- Phone
- (859) 485-7439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1123 | KY | Primary |
Addresses
Primary practice location
12600 Town Center Dr
Walton, KY 41094
Mailing address
PO Box 392907
Pittsburgh, PA 15251
Phone (800) 962-1484
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000032376 | Other | KY | ANTHEM |
| 55008049 | Medicaid | KY | |
| 56004880 | Medicaid | KY | |
| 080014800 | Other | KY | BLACK LUNG |
| 50006641 | Other | KY | PASSPORT |
| 0125260 | Medicaid | OH | |
| 2447868000 | Other | KY | PASSPORT ADVANTAGE |
| 590009115 | Other | KY | RAILROAD MEDICARE |
| 000001162603 | Other | KY | CHA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040412000249 | KY | Part B Supplier - Ambulance Service Supplier | 9830183177 | Practice locations: Walton, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D1007379 | Walton Fire Protection District | Certificate of waiver | Dec 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
11 High School Ct
Walton, KY 41094
Phone (859) 485-7439
12600 Towne Center Dr
Walton, KY 41094
Phone (859) 485-7439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633910400000",
"number": "1346240165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392907",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15251",
"telephone_number": "800-962-1484",
"fax_number": "513-772-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12600 TOWN CENTER DR",
"city": "WALTON",
"state": "KY",
"postal_code": "41094",
"telephone_number": "859-485-7439",
"fax_number": "859-485-4161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WALTON FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-22",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A",
"authorized_official_last_name": "VEST",
"authorized_official_first_name": "JOEY",
"authorized_official_title_or_position": "ASST. CHIEF",
"authorized_official_telephone_number": "859-485-7439"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KY",
"license": "1123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000032376",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55008049",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56004880",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "080014800",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50006641",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125260",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT ADVANTAGE",
"identifier": "2447868000",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590009115",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHA",
"identifier": "000001162603",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.