Organization Active NPI

Brown Ambulance Service Inc

  • Land Ambulance
  • Cynthiana, KY
National Provider Identifier
1689672586
Registry record updated Feb 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BROWN AMBULANCE SERVICE INC
Practice address
101 Rogers Park
Suite 1
Cynthiana, KY 41031-1242
Phone
(859) 234-1515
Fax
(859) 234-1566
NPI assigned
Jul 13, 2005
Last updated
Feb 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2018

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

Authorized official

Name
Mr. Joni Douglas
Title
Vice President
Phone
(859) 235-0622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

101 Rogers Park
Suite 1
Cynthiana, KY 41031-1242

Mailing address

PO Box 589
Madisonville, KY 42431-5011
Phone (270) 824-8123

Other identifiers 9

IdentifierTypeStateIssuer
243562100OtherKYPASSPORT ADVANTAGE
000000014500OtherKYCHA
000000074795OtherKYANTHEM
55049019MedicaidKY
97349OtherCOVENTRY - MEDICAID MCO
1083653OtherKYPASSPORT
163165900OtherFEDERAL BLACK LUNG
56003577MedicaidKY
590015159OtherKYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

101 Rodgers Park Dr
Cynthiana, KY 41031
Phone (859) 234-1515

101 Rodgers Park Dr
Ste 1
Cynthiana, KY 41031
Phone (859) 234-1515

317 Oddville Ave
Ste A
Cynthiana, KY 41031
Phone (859) 234-1515

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519344000000",
    "number": "1689672586",
    "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 ROGERS PARK",
            "address_2": "SUITE 1",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311242",
            "telephone_number": "859-234-1515",
            "fax_number": "859-234-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2018-02-23",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "859-235-0622",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "243562100",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "000000014500",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000074795",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55049019",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY - MEDICAID MCO",
            "identifier": "97349",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1083653",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "163165900",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56003577",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015159",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cynthiana, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.