Organization Active NPI

Ambulance Inc. of Laurel County

  • Land Ambulance
  • London, KY
National Provider Identifier
1972667897
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
56003395MedicaidKY
55063028MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000152 KY Part B Supplier - Ambulance Service Supplier 7012904485 Practice locations: Corbin, KY; London, KY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.