Organization Active NPI

Pendleton Co Ambulance Taxing District

  • Land Ambulance
  • Falmouth, KY
National Provider Identifier
1548574825
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
KY EMS Issued in KY
Legal business name
PENDLETON CO AMBULANCE TAXING DISTRICT
Practice address
332 Highway 330 W
Falmouth, KY 41040-7056
Phone
(859) 654-6951
Fax
(304) 521-1552
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Sara Beth Florence
Title
EMS Director
Phone
(859) 654-6951

Specialties & licenses 1

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

Addresses

Primary practice location

332 Highway 330 W
Falmouth, KY 41040-7056

Mailing address

836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576

Other identifiers 1

IdentifierTypeStateIssuer
7100152120MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000005 KY Part B Supplier - Ambulance Service Supplier 5890810618 Practice locations: Falmouth, KY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1548574825",
    "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": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 HIGHWAY 330 W",
            "city": "FALMOUTH",
            "state": "KY",
            "postal_code": "410407056",
            "telephone_number": "859-654-6951",
            "fax_number": "304-521-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENDLETON CO AMBULANCE TAXING DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "FLORENCE",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "859-654-6951"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "KY EMS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100152120",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.