Estill County EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ESTILL COUNTY EMS

Practice address

22 Mercy Court
Irvine, KY 40336-9998

Phone

(606) 723-2124

Fax

(304) 521-1576

NPI assigned

Jul 14, 2005

Last updated

Oct 4, 2023By 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

Darren G Muncie

Title

Director

Phone

(606) 723-2124

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry M Owens, NRP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Irvine, KY
  • NPI 1568000131
  NPD

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1881693638",
    "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": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MERCY COURT",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403369998",
            "telephone_number": "606-723-2124",
            "fax_number": "304-521-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTILL COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "MUNCIE",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-723-2124"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1143774",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56003916",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "406590715",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55033013",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000070069",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "083445300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherry Dillon, LISW-CP
• Emergency Medicine Physicians of Estill County,PLLC
• Endeavor Health, PLLC
• Estill Behavioral Health, PLLC
• Estill County Chiropractic, PLLC
• Estill County Health Department
• Estill County Health Department
• Estill County Health Department
• Estill County Health Department
• Estill County Schools

• Land Ambulance in Irvine, KY
• Providers in Irvine, KY by specialty
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.