Organization Active NPI

City of Somerset

  • Land Ambulance
  • Somerset, KY
National Provider Identifier
1750332706
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1324 Issued in KY
Legal business name
CITY OF SOMERSET
Doing business as
SOMERSET FIRE EMS
Somerset-Pulaski Co. EMS
Practice address
301 Hail Knob Rd
Somerset, KY 42503-3410
Phone
(606) 679-6388
Fax
(606) 677-9855
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Steven Eubank
Title
Chief
Phone
(606) 679-6388

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1324 KY
Land Ambulance 3416L0300X 1324 KY Primary

Addresses

Primary practice location

301 Hail Knob Rd
Somerset, KY 42503-3410

Mailing address

PO Box 3348
West Somerset, KY 42564-3348
Phone (606) 679-6388

Other identifiers 4

IdentifierTypeStateIssuer
56004724MedicaidKY
1115609OtherKYPASSPORT
083329900OtherKYBLACK LUNG
55100044MedicaidKY

Other names 2

  • SOMERSET FIRE EMS Doing business as
  • Somerset-Pulaski Co. EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315000102 KY Part B Supplier - Ambulance Service Supplier 4880583194 Practice locations: Somerset, KY

National Provider Directory

National Provider Directory

Locations

301 Hail Knob Rd
Somerset, KY 42503
Phone (606) 679-6388

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1750332706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3348",
            "city": "WEST SOMERSET",
            "state": "KY",
            "postal_code": "425643348",
            "telephone_number": "606-679-6388",
            "fax_number": "606-677-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HAIL KNOB RD",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425033410",
            "telephone_number": "606-679-6388",
            "fax_number": "606-677-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOMERSET",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "EUBANK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "606-679-6388"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1324",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004724",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1115609",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "083329900",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55100044",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOMERSET FIRE EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOMERSET FIRE EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Somerset-Pulaski Co. EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.