Organization
WHITLEY COUNTY COUNTY TREASURER
Active
Other names
WHITLEY COUNTY EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY HARRISON (DIRECTOR)
(606) 539-0867
Entity
Organization
Contact information
Practice address
994 AVIATION BLVD, WILLIAMSBURG, KY 40769-9884
(606) 539-0867
(606) 539-9025
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
1619
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191494
ANTHEM BLUE CROSS
KY
01
—
205044500
FEDERAL BLACK LUNG PROGRAM
—
05
—
4582224
—
TN
05
—
55118053
—
KY
05
—
56017866
—
KY
Enumeration date
07/04/2005
Last updated
06/11/2013
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