Organization
BREATHITT-WOLFE EMS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRED FANNIN (OWNER)
(606) 548-0960
Entity
Organization
Contact information
Practice address
3 HOWELL LN, JACKSON, KY 41339-8657
(606) 666-4444
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
—
—
Other
Enumeration date
05/06/2019
Last updated
05/14/2019
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