Active NPI
Jessamine County Fiscal Court
- Land Ambulance
- Nicholasville, KY
National Provider Identifier
1730181033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1449
- Legal business name
- JESSAMINE COUNTY FISCAL COURT
- Practice address
- 101 S 2ND St
Nicholasville, KY 40356-1554 - Phone
- (859) 887-2987
- Fax
- (859) 881-0940
- NPI assigned
- Jun 1, 2005
- 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
- James Goodpaster
- Title
- Director/ Chief
- Phone
- (859) 887-2987
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1449 | KY | Primary |
Addresses
Primary practice location
101 S 2ND St
Nicholasville, KY 40356-1554
Mailing address
101 S 2ND St Ste B
Nicholasville, KY 40356-1554
Phone (598) 872-9878
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590007628 | Other | KY | RAILROAD MEDICARE |
| 55057020 | Medicaid | KY | |
| 560004161 | Medicaid | KY | |
| 000000070456 | Other | KY | ANTHEM |
Other names 1
- JESSAMINE COUNTY AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031215000771 | KY | Part B Supplier - Ambulance Service Supplier | 2365349719 | Practice locations: Nicholasville, KY |
National Provider Directory
National Provider DirectoryLocations
101 S 2nd St
Nicholasville, KY 40356
Phone (859) 887-2987
101 S 2nd St
#B
Nicholasville, KY 40356
Phone (859) 887-2987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1730181033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 S 2ND ST STE B",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403561554",
"telephone_number": "598-872-9878",
"fax_number": "859-881-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 S 2ND ST",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403561554",
"telephone_number": "859-887-2987",
"fax_number": "859-881-0940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JESSAMINE COUNTY FISCAL COURT",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "GOODPASTER",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "DIRECTOR/ CHIEF",
"authorized_official_telephone_number": "859-887-2987"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "KY",
"license": "1449",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590007628",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55057020",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "560004161",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000070456",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JESSAMINE COUNTY AMBULANCE SERVICE",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "JESSAMINE COUNTY AMBULANCE SERVICE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nicholasville, KY
- Lisa Jenkins
- Jenna B Vaught LLC
- Jenna Vaught LLC
- Jessamine County Association for Exceptional Citizens
- Jessamine County Board of Education
- Jessamine County Health Department
- Jessamine County Health Department
- Jessamine County Homeless Coalition, Inc
- Jessamine Eye Center, P.L.L.C.
- Jessamine Family Dentistry PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.