County of Bell
Organization Active NPI Land Ambulance · Pineville, KY
NPI 1902980600 · NPPES record last updated Nov 23, 2020
Key facts
- NPI
- 1902980600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 1438 (KY)
- Legal business name
- COUNTY OF BELL
- Practice address
- 309 Cherry St
Northern Bell County
Pineville, KY 40977-0851 - Phone
- (606) 337-6797
- Fax
- (606) 337-9807
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Albey Brock
- Title
- Judge Executive
- Phone
- (606) 337-6797
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000779 | KY | Part B Supplier - Ambulance Service Supplier | 1355255563 | Practice locations: Pineville, KY |
National Provider Directory
Locations
309 S Cherry St
Pineville, KY 40977
Phone (606) 337-6476
325 S Cherry St
Pineville, KY 40977
Phone (606) 337-9807
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1438 | KY | Yes |
| Land Ambulance | 3416L0300X | 3012 | KY |
Addresses
Primary practice location
309 Cherry St
Northern Bell County
Pineville, KY 40977-0851
Mailing address
PO Box 851
Pineville, KY 40977-0851
Phone (606) 337-6476
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56003502 | Medicaid | KY | |
| 55000129 | Medicaid | KY |
Other names
- Bell County Emergency Ambulance Service
Other providers in Pineville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2020. 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.