Owen County Fiscal Court

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1141 Issued in KY

Legal business name

OWEN COUNTY FISCAL COURT

Doing business as

Owen County EMS

Practice address

208 East Blanton Street
Owenton, KY 40359

Phone

(502) 484-5214

Fax

(502) 484-3958

NPI assigned

Apr 26, 2006

Last updated

Dec 15, 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

Russell T Woodyard

Title

County Executive

Phone

(502) 484-3405

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Owen 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": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702598400000",
    "number": "1467419283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH THOMAS STREET",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "40359",
            "telephone_number": "502-484-3405",
            "fax_number": "502-484-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 EAST BLANTON STREET",
            "city": "OWENTON",
            "state": "KY",
            "postal_code": "40359",
            "telephone_number": "502-484-5214",
            "fax_number": "502-484-3958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWEN COUNTY FISCAL COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "WOODYARD",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COUNTY EXECUTIVE",
        "authorized_official_telephone_number": "502-484-3405"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1080147",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2435453000",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2435453000PASSPORTAD",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004575",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "1080147PASSPORTHEALT",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004575NON-EMERGENC",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000070457",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55094015",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55094015EMERGENCY",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Owen County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Owen County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis McKendall, DDS
• Danny Morgan
• North Park Pharmacy, Inc (North Park Pharmacy and Home Medical Equipment)
• North Park Pharmacy, Inc
• Mary Overberg, MSW
• Owen County Schools
• Owen Dental Center, P.S.C.
• Owen Emergency Physicians
• Owen Essential Care, PLC
• Owenton Ky Opco LLC (Owenton Healthcare and Rehabilitation)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.