Active NPI
Okolona Fire Protection District
- Land Ambulance
- Louisville, KY
National Provider Identifier
1982235313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200414000938 | KY | Part B Supplier - Ambulance Service Supplier | 0840620993 | Practice locations: Louisville, KY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2178615 | Okolona Fire Protection District | Certificate of waiver | Feb 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.