Anchorage Ambulance District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1431 Issued in KY

Legal business name

ANCHORAGE AMBULANCE DISTRICT

Practice address

1400 Evergreen Rd
Anchorage, KY 40223-1418

Phone

(502) 245-6755

Fax

(502) 245-9029

NPI assigned

Jul 13, 2005

Last updated

Dec 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Brooks

Title

Deputy Chief/Director

Phone

(502) 376-1278

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1376541201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVENUE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "25701",
            "telephone_number": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EVERGREEN RD",
            "city": "ANCHORAGE",
            "state": "KY",
            "postal_code": "402231418",
            "telephone_number": "502-245-6755",
            "fax_number": "502-245-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "DEPUTY CHIEF/DIRECTOR",
        "authorized_official_telephone_number": "502-376-1278"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1064754",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000070175",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "00001183289",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200203420A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2434468000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55056162",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56029705",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011748",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Anchorage, KY
• Providers in Anchorage, KY by specialty
• Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.