Active NPI
Elkhorn Ambulance Service, Inc
- Ambulance
- Elkhorn City, KY
National Provider Identifier
1497720072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1658
- Legal business name
- ELKHORN AMBULANCE SERVICE, INC
- Practice address
- 223 Bridge Street
Elkhorn City, KY 41522 - Phone
- (606) 754-5173
- Fax
- (606) 754-5813
- NPI assigned
- Feb 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry Thompson
- Title
- Chief
- Phone
- (606) 754-5173
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1658 | KY | Primary |
Addresses
Primary practice location
223 Bridge Street
Elkhorn City, KY 41522
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Phone (800) 676-4785
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50008744 | Other | KY | PASSPORT |
| 56028855 | Medicaid | KY | |
| 2623138 | Medicaid | OH | |
| 000000389814 | Other | KY | ANTHEM |
| 010223474 | Medicaid | VA | |
| 406590993 | Other | KY | RR MEDICARE |
| 1069699 | Other | WV | WV WORKERS COMP |
| 55001234 | Medicaid | KY | |
| 610830100 | Other | KY | BLACK LUNG |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291075200000",
"number": "1497720072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "836 4TH AVE",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257011407",
"telephone_number": "800-676-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 BRIDGE STREET",
"city": "ELKHORN CITY",
"state": "KY",
"postal_code": "41522",
"telephone_number": "606-754-5173",
"fax_number": "606-754-5813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELKHORN AMBULANCE SERVICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-17",
"last_updated": "2010-11-30",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "TERRY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "606-754-5173"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "KY",
"license": "1658",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "50008744",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56028855",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2623138",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000389814",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010223474",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "406590993",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WV WORKERS COMP",
"identifier": "1069699",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55001234",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "610830100",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.