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Organization

STANFORD EMS & RESCUE INC

Active
Other names
Lincoln County EMS
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH A POWELL (DIRECTOR)
(606) 365-2957
Entity
Organization

Contact information

Practice address
1762 US HIGHWAY 27 S, STANFORD, KY 40484-7801
(606) 365-2833
(606) 365-4508
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
1267
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000069753
BLUE CROSS BLUE SHIELD
KY
01
080016100
BLACK LUNG
KY
01
1456611
UMWA
KY
01
2446955000
PASSPORT ADVANTAGE
KY
01
50005652
PASSPORT HEALTH
KY
05
55069041
KY
05
56005242
KY
01
590002156
RAILROAD MEDICARE
KY
Enumeration date
05/08/2006
Last updated
02/13/2024
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