Active NPI
McKinney Area Rescue Squad Inc TT
- Land Ambulance
- McKinney, KY
National Provider Identifier
1609914043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1561
- 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, 2013
- 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
- Rodney D Johnson
- Title
- Chairman
- Phone
- (606) 346-5300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55069066 | Medicaid | KY | |
| 000000198881 | Other | KY | ANTHEM BLUE CROSS |
| 56004310 | Medicaid | KY | |
| 590005636 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI 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.