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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