Organization
JACKSON COUNTY AMBULANCE SERVICE
Active
Organization
JACKSON COUNTY AMBULANCE SERVICE
Active
Other names
Jackson County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG BOWLES (DIRECTOR / CHIEF OF OPERATIONS)
(606) 287-7782
Entity
Organization
Contact information
Practice address
1035 MCCAMMON RIDGE RD, MC KEE, KY 40447-6320
(606) 287-7782
(606) 287-4199
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
1407
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000563913
ANTHEM BLUE CROSS BLUE SHIELD
KY
01
—
080018700
BLACK LUNG
KY
05
—
200225150A
—
IN
01
—
2448379000
PASSPORT ADVANTAGE
KY
01
—
50007214
PASSPORT
KY
01
—
590012826
RAILROAD MEDICARE
KY
01
—
611013432
UMWA
KY
01
—
611013432008
TRICARE
KY
05
—
710039510
—
KY
05
—
710039520
—
KY
Enumeration date
07/12/2005
Last updated
03/23/2023
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