Organization
LOUISVILLE JEFFERSON COUNTY METRO GOVERNMENT
Active
Other names
LOUISVILLE METRO EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVETTE D HUDSON (OMB MANAGER)
(502) 574-6580
Entity
Organization
Contact information
Practice address
834 E BROADWAY, LOUISVILLE, KY 40204-1072
(502) 574-4245
(502) 574-4368
Mailing address
834 E BROADWAY, LOUISVILLE, KY 40204-1072
(502) 574-4245
(502) 574-4368
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1650
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000247248
ANTHEM (BC/BS)
KY
01
—
080174000
BLACK LUNG
KY
05
—
100017160A
—
IN
05
—
1056313
—
KY
01
—
2433855000
PASSPORT ADVANTAGE
KY
05
—
55000814
—
KY
01
—
8281026
AETNA
KY
Enumeration date
05/25/2006
Last updated
03/01/2017
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