Organization Active NPI

Shelby County Emergency Medical Services

  • Land Ambulance
  • Shelbyville, KY
National Provider Identifier
1679664064
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
650-1118 Issued in KY
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000070040OtherKYANTHEM
1067907OtherKYPASSPORT
55106017MedicaidKY
56005523MedicaidKY
590587016OtherKYUNITED HEALTH CARE/RAILRO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000647 KY Part B Supplier - Ambulance Service Supplier 0749187177 Practice locations: Simpsonville, KY; Waddy, KY; Shelbyville, KY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.