East End Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1440 Issued in KY

Legal business name

EAST END AMBULANCE SERVICE INC

Practice address

602 Elm St
Crab Orchard, KY 40419-9793

Phone

(606) 355-7412

Fax

(606) 355-7998

NPI assigned

Jul 14, 2005

Last updated

Mar 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keith Benge

Title

Chief

Phone

(606) 355-7412

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300752000000",
    "number": "1861491615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 ELM ST",
            "city": "CRAB ORCHARD",
            "state": "KY",
            "postal_code": "404199793",
            "telephone_number": "606-355-7412",
            "fax_number": "606-355-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-03-22",
        "status": "A",
        "authorized_official_last_name": "BENGE",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "606-355-7412"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56025596",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015161",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000271660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55069033",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashlyn E Boots, LPCC
• Mattie A Byler, LCPM
• Crab Orchard Family Practice Clinic
• Crab Orchard Family Practice Clinic, Inc.
• Cumberland Family Medical Center Inc (Crab Orchard Elementary Healthy Kids Clinic)
• Lincoln County Health Department (Crab Orchard Elementary School Health Office)
• Karen McCoy
• Leslie Renee' McQueen, APRN
• Elizabeth A Meeks, APRN
• Ruth H. Nelson, APRN

• Ambulance in Crab Orchard, KY
• Providers in Crab Orchard, KY by specialty
• Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.