Fiscal Court Marshall County
Organization Active NPI Land Ambulance · Benton, KY
NPI 1851448237 · NPPES record last updated Apr 5, 2021
Key facts
- NPI
- 1851448237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1300 (KY)
- Legal business name
- FISCAL COURT MARSHALL COUNTY
- Practice address
- 505 George McClain Dr
Benton, KY 42025-1331 - Phone
- (270) 527-1243
- Fax
- (270) 527-7313
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Bryan S Cutsinger
- Title
- Director
- Phone
- (270) 527-1243
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D0690247 | Marshall County Ambulance Service | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050909000660 | KY | Part B Supplier - Ambulance Service Supplier | 8921030933 | Practice locations: Benton, KY |
National Provider Directory
Locations
505 George McClain Dr
Benton, KY 42025
Phone (270) 527-1243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1300 | KY | Yes |
Addresses
Primary practice location
505 George McClain Dr
Benton, KY 42025-1331
Mailing address
PO Box 533
Benton, KY 42025-0533
Phone (270) 527-1243
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56004260 | Medicaid | KY | |
| 55079016 | Medicaid | KY |
Other names
- Marshall County Ambulance Service
Other providers in Benton, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.