Mercer County Emergency Medical Services, Inc,

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC,

Practice address

130 Commercial Dr
Harrodsburg, KY 40330-1084

Phone

(859) 734-4486

Fax

(859) 734-4484

NPI assigned

Jul 9, 2005

Organization subpart

No

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

Authorized official

Name

Paul W Parks

Title

Director

Phone

(859) 734-4486

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1982602306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 COMMERCIAL DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301084",
            "telephone_number": "859-734-4486",
            "fax_number": "859-734-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 COMMERCIAL DR",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "403301084",
            "telephone_number": "859-734-4486",
            "fax_number": "859-734-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-09",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "859-734-4486"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KY",
            "license": "1365",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55084024",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590011709",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56004385",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000070364",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inna Oksana Malyuk, B.A.
• Alicia D McGee
• Carol A McQueen, CSW
• Mercer Chiropractic Center, Inc.
• Mercer County Board of Education
• Mercer County Health Department
• Mercer County Health Department
• Mercer Medical Associates PSC
• Mercer Pediatrics PSC
• Arthur F Miller III

• All providers in Harrodsburg, KY
• Land Ambulance in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.