Organization Active NPI

Paris-Bourbon County EMS

  • Land Ambulance
  • Paris, KY
National Provider Identifier
1629095385
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1417 Issued in KY
Legal business name
PARIS-BOURBON COUNTY EMS
Practice address
313 High St
Paris, KY 40361
Phone
(859) 987-2110
Fax
(859) 987-4640
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Authorized official

Name
Jason Taylor
Title
EMS Major
Phone
(859) 987-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1417 KY Primary

Addresses

Primary practice location

313 High St
Paris, KY 40361

Mailing address

PO Box 228
Paris, KY 40362
Phone (859) 987-2110

Other identifiers 6

IdentifierTypeStateIssuer
2445745000OtherKYPASSPORT ADVANTAGE
50004380MedicaidKY
080015100OtherKYBLACK LUNG
56004617MedicaidKY
55009047MedicaidKY
000000070115OtherKYBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040515000044 KY Part B Supplier - Ambulance Service Supplier 5395735989 Practice locations: Paris, KY

National Provider Directory

National Provider Directory

Locations

313 High St
Paris, KY 40361
Phone (859) 987-2110

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1629095385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40362",
            "telephone_number": "859-987-2110",
            "fax_number": "859-987-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 HIGH ST",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "40361",
            "telephone_number": "859-987-2110",
            "fax_number": "859-987-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS-BOURBON COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "EMS MAJOR",
        "authorized_official_telephone_number": "859-987-2120"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2445745000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50004380",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "080015100",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004617",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55009047",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000070115",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.