Organization Active NPI

Jessamine County Fiscal Court

  • Land Ambulance
  • Nicholasville, KY
National Provider Identifier
1730181033
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1449 Issued in KY
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

Updated by the provider on Feb 15, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590007628OtherKYRAILROAD MEDICARE
55057020MedicaidKY
560004161MedicaidKY
000000070456OtherKYANTHEM

Other names 1

  • JESSAMINE COUNTY AMBULANCE SERVICE Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031215000771 KY Part B Supplier - Ambulance Service Supplier 2365349719 Practice locations: Nicholasville, KY

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.