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
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1432
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000069747
ANTHEM
KY
05
—
0725577
—
OH
01
—
1110985
PASSPORT
KY
01
—
225704
CARELINK
KY
05
—
55001168
—
KY
05
—
56004609
—
KY
05
—
9000038000
—
WV
Enumeration date
02/25/2008
Last updated
04/20/2008
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