Organization
GARRARD COUNTY FISCAL COURT
Active
Other names
GARRARD COUNTY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WILSON (JUDGE/EXEC)
(859) 792-6288
Entity
Organization
Contact information
Practice address
319 STANFORD ST, LANCASTER, KY 40444-1238
(859) 792-6288
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1525
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070450
ANTHEM BLUE CROSS
KY
05
—
55040018
—
KY
05
—
56003965
—
KY
01
—
614932400
BLACK LUNG PROGRAM
KY
01
—
614932400
US DEPARTMENT OF LABOR
—
Enumeration date
07/04/2005
Last updated
02/27/2012
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