Organization Active NPI

Hancock County

Doing business as Hancock County EMS

  • Land Ambulance
  • Hawesville, KY
National Provider Identifier
1821095001
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1041 Issued in KY
Legal business name
HANCOCK COUNTY
Doing business as
Hancock County EMS
Practice address
655 Hawes Blvd
Hawesville, KY 42348-2516
Phone
(270) 927-1310
Fax
(270) 927-1313
NPI assigned
Jul 4, 2005
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Damian Rice
Title
Director
Phone
(270) 927-1310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1041 KY Primary

Addresses

Primary practice location

655 Hawes Blvd
Hawesville, KY 42348-2516

Mailing address

PO Box 165
Hartford, KY 42347-0165
Phone (270) 298-4415

Other identifiers 2

IdentifierTypeStateIssuer
55046031MedicaidKY
406590768OtherRR MEDICARE

Other names 1

  • HANCOCK COUNTY EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051213000199 KY Part B Supplier - Ambulance Service Supplier 6709822786 Practice locations: Hawesville, KY

National Provider Directory

National Provider Directory

Locations

655 Hawes Blvd
Hawesville, KY 42348
Phone (270) 927-1310

NPI Registry JSON

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

{
    "created_epoch": "1120435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1821095001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470165",
            "telephone_number": "270-298-4415",
            "fax_number": "270-298-4417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 HAWES BLVD",
            "city": "HAWESVILLE",
            "state": "KY",
            "postal_code": "423482516",
            "telephone_number": "270-927-1310",
            "fax_number": "270-927-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-04",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "270-927-1310"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55046031",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "406590768",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HANCOCK COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawesville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.