Edmonson County Ambulance District
Organization Active NPI Land Ambulance · Brownsville, KY
NPI 1891877353 · NPPES record last updated Dec 22, 2010
Key facts
- NPI
- 1891877353
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1519 (KY)
- Legal business name
- EDMONSON COUNTY AMBULANCE DISTRICT
- Practice address
- 1755 Hwy 259 N.
Brownsville, KY 42210-0118 - Phone
- (270) 597-3721
- Fax
- (270) 597-9851
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Keith Sanders, PARAMEDIC
- Title
- Director
- Phone
- (270) 597-3721
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040115000363 | KY | Part B Supplier - Ambulance Service Supplier | 2769383538 | Practice locations: Brownsville, KY |
National Provider Directory
Locations
1755 KY Highway 259 N
Brownsville, KY 42210
Phone (270) 597-3721
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1519 | KY | Yes |
Addresses
Primary practice location
1755 Hwy 259 N.
Brownsville, KY 42210-0118
Mailing address
PO Box 118
Brownsville, KY 42210-0118
Phone (270) 597-3721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56003874 | Medicaid | KY | |
| 000000077051 | Other | KY | ANTHEM BC/BS |
| 163544600 | Other | KY | U.S. DEPT. OF LABOR |
| 55031033 | Medicaid | KY |
Other providers in Brownsville, KY
- Jennifer A Camas
- Jeanetta Childress
- Daniel Cooke
- Melvin R. Croley
- Paula Dupree
- Edmonson County Board of Education
- Edmonson Drug Company Inc
- Edmonson Drug Company Inc
- Edmonson Drug Company Inc
- Edmonson Eye Care 2016
All providers in Brownsville, KY · Land Ambulance in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2010. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.