Organization
GREENUP COUNTY EMERGENCY MEDICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN PORTER (CHIEF)
(606) 833-1515
Entity
Organization
Contact information
Practice address
1104 POWELL LN, FLATWOODS, KY 41139-1614
(606) 833-1515
(606) 833-2323
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000069747
ANTHEM
KY
05
—
0725577
—
OH
01
—
1110985
PASSPORT
KY
01
—
225704
CARELINK
KY
05
—
55045041
—
KY
05
—
56004609
—
KY
05
—
9000038000
—
WV
Enumeration date
07/18/2005
Last updated
04/20/2008
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