Organization Active NPI

Ambulance Service Corporation Inc

  • Ambulance
  • Glasgow, KY
National Provider Identifier
1376542415
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
AMBULANCE SERVICE CORPORATION INC
Practice address
703 E Main St
Glasgow, KY 42141-2744
Phone
(270) 651-6903
Fax
(270) 651-0331
NPI assigned
Jul 20, 2005
Last updated
Feb 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Authorized official

Name
Charles O'Neal
Title
Director
Phone
(270) 651-6903

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

703 E Main St
Glasgow, KY 42141-2744

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
55005029MedicaidKY
56003403MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040608000649 KY Part B Supplier - Ambulance Service Supplier 2466435854 Practice locations: Edmonton, KY; Glasgow, KY

National Provider Directory

National Provider Directory

Locations

101 Fairground St
Edmonton, KY 42129
Phone (270) 651-5131

100 Airport Rd
Glasgow, KY 42141
Phone (270) 651-6903

703 E Main St
Glasgow, KY 42141
Phone (270) 651-5122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517529600000",
    "number": "1376542415",
    "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": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E MAIN ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421412744",
            "telephone_number": "270-651-6903",
            "fax_number": "270-651-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULANCE SERVICE CORPORATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2018-02-02",
        "status": "A",
        "authorized_official_last_name": "O'NEAL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-651-6903"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55005029",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56003403",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.