Organization
LARUE COUNTY COUNTY TREASURER
Active
Other names
Larue County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL S COTTRELL (DIRECTOR)
(270) 358-4071
Entity
Organization
Contact information
Practice address
924 S LINCOLN BLVD, HODGENVILLE, KY 42748
(270) 358-4071
(270) 358-4093
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
1361
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070448
BLUE CROSS BLUE SHIELD
KY
01
—
1074427
PASSPORT HEALTH
KY
01
—
2435164000
PASSPORT ADVANTAGE
KY
01
—
55062012
MEDICAID UNISYS 55
KY
01
—
56005432
MEDICAID UNISYS 56
KY
01
—
590003506
RAILROAD MEDICARE
KY
Enumeration date
07/17/2006
Last updated
07/18/2023
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