Organization Active NPI

Lexington Fayette Urban County Government

  • Land Ambulance
  • Lexington, KY
National Provider Identifier
1508823857
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1288 Issued in KY
Legal business name
LEXINGTON FAYETTE URBAN COUNTY GOVERNMENT
Practice address
219 E Third St
Lexington, KY 40507
Phone
(859) 231-5643
Fax
(859) 231-5652
NPI assigned
Apr 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Wesley Holbrook
Title
Director
Phone
(859) 231-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1288 KY Primary

Addresses

Primary practice location

219 E Third St
Lexington, KY 40507

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-8413

Other identifiers 6

IdentifierTypeStateIssuer
000000070013OtherKYBLUE CROSS BLUE SHIELD
55034029MedicaidKY
2435509000OtherKYPASSPORT ADVANTAGE
406590461OtherKYRAILROAD MEDICARE
1081349OtherKYPASSPORT HEALTH
913088800MedicaidFL

Other names 2

  • LFUCG Fire Department Ambulance Doing business as
  • Lexington Fire Dept. Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040317001295 KY Part B Supplier - Ambulance Service Supplier 3173413788 Practice locations: Lexington, KY

National Provider Directory

National Provider Directory
Tax ID family
Lexington Fayette Urban Co Govt2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1626 Harrodsburg Rd
Lexington, KY 40504
Phone (859) 278-8124

3308 Shillito Park Rd
Lexington, KY 40503
Phone (859) 223-7407

1530 Roanoke Rd
Lexington, KY 40504
Phone (859) 278-2904

3191 Mapleleaf Dr
Lexington, KY 40509
Phone (859) 543-4181

3307 Tates Creek Rd
Lexington, KY 40502
Phone (859) 269-9719

370 Merino St
Lexington, KY 40508
Phone (859) 231-8567

4393 Clearwater Way
Lexington, KY 40515
Phone (859) 245-1312

2234 Richmond Rd
Lexington, KY 40502
Phone (859) 269-1396

501 S Limestone
Lexington, KY 40508
Phone (859) 255-9278

3700 Man O War Blvd
Lexington, KY 40515
Phone (859) 231-5600

219 E Third St
Lexington, KY 40508
Phone (859) 231-5643

415 E New Circle Rd
Lexington, KY 40505
Phone (859) 293-1812

1276 Eastland Dr
Lexington, KY 40505
Phone (859) 293-1812

1725 N Broadway
Lexington, KY 40505
Phone (859) 299-0714

1128 Finney Dr
Lexington, KY 40511
Phone (859) 255-9360

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1508823857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-8413",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E THIRD ST",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40507",
            "telephone_number": "859-231-5643",
            "fax_number": "859-231-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEXINGTON FAYETTE URBAN COUNTY GOVERNMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-231-5600"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000070013",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55034029",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2435509000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "406590461",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH",
            "identifier": "1081349",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "913088800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LFUCG Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LFUCG Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lexington Fire Dept. Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.