Spencer County Treasurer

Organization Active NPI Land Ambulance · Taylorsville, KY

NPI 1700900487 · NPPES record last updated Oct 7, 2014

Key facts

NPI
1700900487
Entity type
Organization (NPI type 2)
Primary specialty
Land Ambulance 3416L0300X
License
1353 (KY)
Legal business name
SPENCER COUNTY TREASURER
Practice address
66 Spears Dr
Taylorsville, KY 40071-6756
Phone
(502) 477-3244
Fax
(502) 477-3245
NPI assigned
Mar 19, 2007
Organization subpart
No

Authorized official

Name
Doug Williams
Title
Treasurer
Phone
(502) 477-3244

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031217001095 KY Part B Supplier - Ambulance Service Supplier 4789581646 Practice locations: Taylorsville, KY

National Provider Directory

Locations

66 Spears Dr
Taylorsville, KY 40071
Phone (502) 477-3244

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1353 KY Yes

Addresses

Primary practice location

66 Spears Dr
Taylorsville, KY 40071-6756

Mailing address

PO Box 397
Taylorsville, KY 40071-0397
Phone (502) 477-3205

Other identifiers

IdentifierTypeStateIssuer
56004765MedicaidKY
1067333MedicaidKY
590000280OtherKYTRAVELERS
000000070460OtherKYANTHEM BC BS
55108013MedicaidKY

Other names

  • Spencer County Ambulance Service Doing business as

Other providers in Taylorsville, KY

All providers in Taylorsville, KY · Land Ambulance in Kentucky

Sources for this page

Verify at the official NPI Registry.