Active NPI
Ambulance Inc. of Laurel County
- Land Ambulance
- London, KY
National Provider Identifier
1972667897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- AMBULANCE INC. OF LAUREL COUNTY
- Practice address
- 420 W 5TH St
London, KY 40741-1896 - Phone
- (606) 878-6300
- Fax
- (606) 877-2030
- NPI assigned
- Dec 22, 2006
- Last updated
- Mar 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Jones
- Title
- Administrator
- Phone
- (606) 878-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
420 W 5TH St
London, KY 40741-1896
Mailing address
PO Box 45
London, KY 40743-0045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56003395 | Medicaid | KY | |
| 55063028 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040428000152 | KY | Part B Supplier - Ambulance Service Supplier | 7012904485 | Practice locations: Corbin, KY; London, KY |
National Provider Directory
National Provider DirectoryLocations
885 US Highway 25 W
Corbin, KY 40701
Phone (606) 878-6301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709769600000",
"number": "1972667897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45",
"city": "LONDON",
"state": "KY",
"postal_code": "407430045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W 5TH ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411896",
"telephone_number": "606-878-6300",
"fax_number": "606-877-2030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMBULANCE INC. OF LAUREL COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "606-878-6300"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56003395",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55063028",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.