Organization
HARDIN COUNTY & HARDIN COUNTY JAIL
Active
Other names
HARDIN COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PETERSON (EMS DIRECTOR)
(270) 769-3014
Entity
Organization
Contact information
Practice address
170 NORTH PROVIDENT WAY, ELIZABETHTOWN, KY 42701
(270) 769-3014
(270) 769-0387
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
1082
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070443
ANTHEM
KY
01
—
1065175
PASSPORT HEALTH
KY
01
—
2434483000
PASSPORT ADVANTAGE
KY
05
—
55047039
—
KY
05
—
56004039
—
KY
01
—
590087617
RR MEDICARE
KY
Enumeration date
03/31/2006
Last updated
06/11/2024
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