Organization
CITY OF MIDDLESBORO
Active
Other names
Middlesboro Fire Department Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ENGLAND (EMS DIRECTOR)
(606) 242-2332
Entity
Organization
Contact information
Practice address
121 LOTHBURY AVE, MIDDLESBORO, KY 40965
(606) 242-2332
(606) 248-2168
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 821-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1439
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070466
BLUE CROSS BLUE SHIELD
KY
05
—
010085713
—
VA
01
—
086252100
BLACK LUNG
KY
01
—
0941689
UNITED MINE WORKERS
KY
01
—
2444347000
PASSPORT ADVANTAGE
KY
05
—
4581343
—
TN
05
—
50002872
—
KY
05
—
55007058
—
KY
05
—
56003692
—
KY
01
—
590000492
RAILROAD MEDICARE
KY
Enumeration date
05/10/2006
Last updated
02/13/2024
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