Organization Active NPI

Boyle County Fiscal Court

  • Land Ambulance
  • Danville, KY
National Provider Identifier
1861490765
Registry record updated Nov 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
BOYLE COUNTY FISCAL COURT
Practice address
1856 S Danville Byp
Danville, KY 40422-8401
Phone
(859) 238-1133
Fax
(859) 238-1135
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2020

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

Authorized official

Name
Mike Rogers
Title
Director
Phone
(859) 319-3927

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1540 KY
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1856 S Danville Byp
Danville, KY 40422-8401

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other identifiers 8

IdentifierTypeStateIssuer
2435310000OtherKYPASSPORT ADVANTAGE
1077344OtherKYPASSPORT
000000011569OtherKYCHA
000000070442OtherKYANTHEM
083357200OtherKYBLACK LUNG
56003544MedicaidKY
55011035MedicaidKY
590008585OtherKYRAILROAD MEDICARE

Other names 1

  • Boyle 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
O20040609001238 KY Part B Supplier - Ambulance Service Supplier 2668455809 Practice locations: Danville, KY

National Provider Directory

National Provider Directory

Locations

1856 S Danville Byp
Danville, KY 40422
Phone (606) 238-1133

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1861490765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1856 S DANVILLE BYP",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228401",
            "telephone_number": "859-238-1133",
            "fax_number": "859-238-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLE COUNTY FISCAL COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-319-3927"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1540",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2435310000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1077344",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "000000011569",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000070442",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "083357200",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56003544",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55011035",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008585",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boyle County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Boyle County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2020; 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.