Organization Active NPI

Knox County Ambulance Service

  • Land Ambulance
  • Corbin, KY
National Provider Identifier
1780868703
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1516 Issued in KY
Legal business name
KNOX COUNTY AMBULANCE SERVICE
Practice address
14173 N US Highway 25 E
Corbin, KY 40701-6183
Phone
(606) 546-9722
Fax
(606) 546-2106
NPI assigned
Dec 27, 2007
Last updated
Aug 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Martha Sue Brooks
Title
Billing/ Data Management
Phone
(606) 546-9722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1516 KY Primary

Addresses

Primary practice location

14173 N US Highway 25 E
Corbin, KY 40701-6183

Mailing address

PO Box 1539
Barbourville, KY 40906-5539
Phone (606) 546-9722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000006 KY Part B Supplier - Ambulance Service Supplier 1254320187 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corbin, KY; Barbourville, KY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Knox County Ambulance S2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

14173 N US Highway 25 E
Corbin, KY 40701
Phone (606) 546-9722

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1780868703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409065539",
            "telephone_number": "606-546-9722",
            "fax_number": "606-546-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14173 N US HIGHWAY 25 E",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "407016183",
            "telephone_number": "606-546-9722",
            "fax_number": "606-546-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BILLING/ DATA MANAGEMENT",
        "authorized_official_telephone_number": "606-546-9722"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corbin, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.