Active NPI
Paris-Bourbon County EMS
- Land Ambulance
- Paris, KY
National Provider Identifier
1629095385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1417
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2445745000 | Other | KY | PASSPORT ADVANTAGE |
| 50004380 | Medicaid | KY | |
| 080015100 | Other | KY | BLACK LUNG |
| 56004617 | Medicaid | KY | |
| 55009047 | Medicaid | KY | |
| 000000070115 | Other | KY | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040515000044 | KY | Part B Supplier - Ambulance Service Supplier | 5395735989 | Practice locations: Paris, KY |
National Provider Directory
National Provider DirectoryLocations
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.