Organization Active NPI

Okolona Fire Protection District

  • Land Ambulance
  • Louisville, KY
National Provider Identifier
1982235313
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
OKOLONA FIRE PROTECTION DISTRICT
Practice address
8501 Preston Hwy
Louisville, KY 40219-5301
Phone
(502) 964-5111
Fax
(502) 966-8388
NPI assigned
Feb 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tom Puckett
Title
EMS Director
Phone
(502) 376-1712

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

8501 Preston Hwy
Louisville, KY 40219-5301

Mailing address

PO Box 589
Madisonville, KY 42431-5011
Phone (270) 824-8123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200414000938 KY Part B Supplier - Ambulance Service Supplier 0840620993 Practice locations: Louisville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2178615Okolona Fire Protection District8501 Preston Highway, Louisville, KY 40219Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

1714 Rangeland Rd
Louisville, KY 40219
Phone (502) 964-5111

8501 Preston Hwy
Okolona, KY 40219
Phone (502) 574-7560

NPI Registry JSON

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1982235313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 PRESTON HWY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402195301",
            "telephone_number": "502-964-5111",
            "fax_number": "502-966-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKOLONA FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "502-376-1712"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.