Active NPI
Brown Ambulance Service Inc
- Land Ambulance
- Cynthiana, KY
National Provider Identifier
1689672586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2018
- 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
- Mr. Joni Douglas
- Title
- Vice President
- Phone
- (859) 235-0622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 243562100 | Other | KY | PASSPORT ADVANTAGE |
| 000000014500 | Other | KY | CHA |
| 000000074795 | Other | KY | ANTHEM |
| 55049019 | Medicaid | KY | |
| 97349 | Other | COVENTRY - MEDICAID MCO | |
| 1083653 | Other | KY | PASSPORT |
| 163165900 | Other | FEDERAL BLACK LUNG | |
| 56003577 | Medicaid | KY | |
| 590015159 | Other | KY | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
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.