Larue County County Treasurer

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1361 Issued in KY

Legal business name

LARUE COUNTY COUNTY TREASURER

Doing business as

Larue County EMS

Practice address

924 S Lincoln Blvd
Hodgenville, KY 42748

Phone

(270) 358-4071

Fax

(270) 358-4093

NPI assigned

Jul 17, 2006

Last updated

Jul 18, 2023By 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

Michael S Cottrell

Title

Director

Phone

(270) 358-4071

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Larue County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1386661049",
    "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": "924 S LINCOLN BLVD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "42748",
            "telephone_number": "270-358-4071",
            "fax_number": "270-358-4093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARUE COUNTY COUNTY TREASURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "COTTRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-358-4071"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UNISYS 55",
            "identifier": "55062012",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000070448",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590003506",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2435164000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "1074427",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID UNISYS 56",
            "identifier": "56005432",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Larue County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Larue County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Andrew Hurst
• Inside Out, LLC
• Brittain Cole Jackson, PHARMD
• Shauna Kristen Johnson, APRN
• Larue County Board of Education
• Larue County Geriatric Center, Inc. (Sunrise Manor)
• Mariah Lavere
• Lincoln Trail District Health Department (LaRue County Health Center)
• Lincoln Way LLC Janice Diane Haycraft Single MBR
• Louisville Optometric Centers, III PSC (VisionFirst)

• Land Ambulance in Hodgenville, KY
• Providers in Hodgenville, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.