Madison County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1268 Issued in KY

Legal business name

MADISON COUNTY EMS

Practice address

556 S Keeneland Dr
Richmond, KY 40475

Phone

(859) 623-5121

Fax

(859) 623-0340

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Ronald S. Jackson

Title

Director

Phone

(859) 623-5121

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Madison Co 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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1427007368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 S KEENELAND DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753232",
            "telephone_number": "859-623-5121",
            "fax_number": "859-626-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 S KEENELAND DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "40475",
            "telephone_number": "859-623-5121",
            "fax_number": "859-623-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-623-5121"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55076020",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000069991",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590587039",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56005259",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Madison Co EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Madison Co EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Lyons, R.PH.
• M & M Drug Inc
• Madison County Aesthetics
• Madison County Board of Education
• Madison County Clinic
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department
• Madison County Health Department

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.