Active NPI
Shelby County Emergency Medical Services
- Land Ambulance
- Shelbyville, KY
National Provider Identifier
1679664064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 650-1118
- Legal business name
- SHELBY COUNTY EMERGENCY MEDICAL SERVICES
- Practice address
- 101 Old Seven Mile Pike
Shelbyville, KY 40065-8816 - Phone
- (502) 633-5725
- Fax
- (502) 633-5949
- NPI assigned
- Sep 28, 2006
- Last updated
- Jun 23, 2026
- 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
- Shaun Powell
- Title
- Chief of Operations
- Phone
- (502) 633-5725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 650-1118 | KY | Primary |
Addresses
Primary practice location
101 Old Seven Mile Pike
Shelbyville, KY 40065-8816
Mailing address
PO Box 589
Madisonville, KY 42431-5011
Phone (270) 824-8123
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000070040 | Other | KY | ANTHEM |
| 1067907 | Other | KY | PASSPORT |
| 55106017 | Medicaid | KY | |
| 56005523 | Medicaid | KY | |
| 590587016 | Other | KY | UNITED HEALTH CARE/RAILRO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000647 | KY | Part B Supplier - Ambulance Service Supplier | 0749187177 | Practice locations: Simpsonville, KY; Waddy, KY; Shelbyville, KY |
National Provider Directory
National Provider DirectoryLocations
101 Old Seven Mile Pike
Shelbyville, KY 40065
Phone (502) 633-5725
419 Washington St
Shelbyville, KY 40065
Phone (502) 633-5932
121 Citizens Blvd
Simpsonville, KY 40067
Phone (502) 722-5723
75 Peytona Beach Rd
Waddy, KY 40076
Phone (502) 376-5722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782172800000",
"number": "1679664064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 589",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424315011",
"telephone_number": "270-824-8123",
"fax_number": "270-824-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 OLD SEVEN MILE PIKE",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658816",
"telephone_number": "502-633-5725",
"fax_number": "502-633-5949"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELBY COUNTY EMERGENCY MEDICAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A",
"authorized_official_last_name": "POWELL",
"authorized_official_first_name": "SHAUN",
"authorized_official_title_or_position": "CHIEF OF OPERATIONS",
"authorized_official_telephone_number": "502-633-5725"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KY",
"license": "650-1118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000070040",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PASSPORT",
"identifier": "1067907",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55106017",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56005523",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE/RAILRO",
"identifier": "590587016",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.