NPIMap

Organization Active NPI

Louisville Jefferson County Metro Government

Doing business as Louisville Metro EMS

  • Land Ambulance
  • Louisville, KY
National Provider Identifier
1396791208
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1650 Issued in KY
Legal business name
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Doing business as
Louisville Metro EMS
Practice address
834 E Broadway
Louisville, KY 40204-1072
Phone
(502) 574-4245
Fax
(502) 574-4368
NPI assigned
May 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Mrs. Evette D Hudson
Title
Omb Manager
Phone
(502) 574-6580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1650 KY Primary

Addresses

Primary practice location

834 E Broadway
Louisville, KY 40204-1072

Mailing address

834 E Broadway
Louisville, KY 40204-1072
Phone (502) 574-4245

Other identifiers 7

IdentifierTypeStateIssuer
000000247248OtherKYANTHEM (BC/BS)
1056313MedicaidKY
080174000OtherKYBLACK LUNG
100017160AMedicaidIN
2433855000OtherKYPASSPORT ADVANTAGE
55000814MedicaidKY
8281026OtherKYAETNA

Other names 1

  • LOUISVILLE METRO EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031126000647 KY Part B Supplier - Ambulance Service Supplier 9537064951 Practice locations: Louisville, KY; Fairdale, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Louisville Jefferson County Metro5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1135 W Jefferson St
Louisville, KY 40203
Phone (502) 574-1552

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1396791208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041072",
            "telephone_number": "502-574-4245",
            "fax_number": "502-574-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 E BROADWAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041072",
            "telephone_number": "502-574-4245",
            "fax_number": "502-574-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "EVETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OMB MANAGER",
        "authorized_official_telephone_number": "502-574-6580",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM (BC/BS)",
            "identifier": "000000247248",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056313",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080174000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100017160A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2433855000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000814",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "8281026",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOUISVILLE METRO EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.