Organization
KNOX COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA SUE BROOKS (BILLING / DATA MANAGEMENT)
(606) 546-9722
Entity
Organization
Contact information
Practice address
223 GREGORY LANE, BARBOURVILLE, KY 40906
(606) 546-9722
(606) 546-2106
Mailing address
PO BOX 1539, BARBOURVILLE, KY 40906-5539
(606) 546-9722
(606) 546-2106
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1285
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55061030
—
KY
05
—
7100252660
—
KY
Enumeration date
07/21/2005
Last updated
08/30/2019
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