Organization Active NPI

McKinney Area Rescue Squad Inc TT

  • Land Ambulance
  • McKinney, KY
National Provider Identifier
1609914043
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1561 Issued in KY
Legal business name
MCKINNEY AREA RESCUE SQUAD INC TT
Practice address
3305 Middleburg Rd
McKinney, KY 40448-0117
Phone
(606) 346-5300
Fax
(606) 346-5300
NPI assigned
Feb 1, 2007
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Rodney D Johnson
Title
Chairman
Phone
(606) 346-5300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1561 KY Primary

Addresses

Primary practice location

3305 Middleburg Rd
McKinney, KY 40448-0117

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other identifiers 4

IdentifierTypeStateIssuer
55069066MedicaidKY
000000198881OtherKYANTHEM BLUE CROSS
56004310MedicaidKY
590005636OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1609914043",
    "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": "270-744-9600",
            "fax_number": "270-744-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MIDDLEBURG RD",
            "city": "MCKINNEY",
            "state": "KY",
            "postal_code": "404480117",
            "telephone_number": "606-346-5300",
            "fax_number": "606-346-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY AREA RESCUE SQUAD INC TT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "606-346-5300"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55069066",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "000000198881",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004310",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590005636",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.