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Organization

ELLIOTT COUNTY AMBULANCE SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BURLING (DIRECTOR)
(606) 484-1060
Entity
Organization

Contact information

Practice address
59 AMBULANCE RD, SANDY HOOK, KY 41171
(606) 738-4132
(606) 738-6667
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
1178
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000220515
BLUE CROSS BLUE SHIELD
KY
01
080044800
BLACK LUNG
KY
05
55000673
KY
05
56022023
KY
01
590015174
RAILROAD MEDICARE
KY
Enumeration date
06/09/2006
Last updated
02/23/2018
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