Active NPI
City of Somerset
- Land Ambulance
- Somerset, KY
National Provider Identifier
1750332706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1324
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56004724 | Medicaid | KY | |
| 1115609 | Other | KY | PASSPORT |
| 083329900 | Other | KY | BLACK LUNG |
| 55100044 | Medicaid | KY |
Other names 2
- SOMERSET FIRE EMS
- Somerset-Pulaski Co. EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040315000102 | KY | Part B Supplier - Ambulance Service Supplier | 4880583194 | Practice locations: Somerset, KY |
National Provider Directory
National Provider DirectoryLocations
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.