Organization
WHITLEY COUNTY COUNTY TREASURER
Active
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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