Organization Active NPI

County of Nelson

  • Land Ambulance
  • Bardstown, KY
National Provider Identifier
1558368969
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1363 Issued in KY
Legal business name
COUNTY OF NELSON
Practice address
1301 Atkinson Hill Ave
Bardstown, KY 40004-7770
Phone
(502) 348-4929
Fax
(502) 348-2852
NPI assigned
Jun 30, 2005
Last updated
Jan 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Mrs. Wanda F Ward
Title
Office Manager
Phone
(502) 348-4929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1363 KY Primary

Addresses

Primary practice location

1301 Atkinson Hill Ave
Bardstown, KY 40004-7770

Mailing address

PO Box 578
Bardstown, KY 40004-0578
Phone (502) 348-4929

Other identifiers 3

IdentifierTypeStateIssuer
56022601MedicaidKY
55000723MedicaidKY
1166649MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031210000321 KY Part B Supplier - Ambulance Service Supplier 8628974664 Practice locations: Bardstown, KY

National Provider Directory

National Provider Directory

Locations

113 E Stephen Foster Ave
Bardstown, KY 40004
Phone (502) 348-4929

1301 Atkinson Hill Ave
Bardstown, KY 40004
Phone (502) 348-4929

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1558368969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400040578",
            "telephone_number": "502-348-4929",
            "fax_number": "502-348-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 ATKINSON HILL AVE",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400047770",
            "telephone_number": "502-348-4929",
            "fax_number": "502-348-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "WANDA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "502-348-4929",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56022601",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55000723",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1166649",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.