Organization
WOODFORD COUNTY
Active
Other names
Woodford Co Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
FREEMAN BAILEY (DIRECTOR)
(859) 873-8161
Entity
Organization
Contact information
Practice address
86 BIG SINK RD, VERSAILLES, KY 40383
(859) 873-8161
(859) 873-8057
Mailing address
86 BIG SINK RD, VERSAILLES, KY 40383-1556
(859) 873-8161
(859) 873-8057
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1275
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070461
BLUE CROSS BLUE SHIELD
KY
01
—
0721379
UNITED MINE WORKERS
KY
01
—
1069329
PASSPORT HEALTH
KY
01
—
2434752000
PASSPORT ADVANTAGE
KY
01
—
55120018
MEDICAID UNISYS 55
KY
01
—
56004948
MEDICAID UNISYS 56
KY
01
—
590012372
RAILROAD MEDICARE
KY
01
—
8020101
FEDERAL MEDICARE
KY
Enumeration date
07/02/2006
Last updated
01/12/2022
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