Organization
MCCREARY COUNTY JUDGE
Active
Other names
McCreary County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMY D. BARNETT (DIRECTOR)
(606) 376-5063
Entity
Organization
Contact information
Practice address
1 NORTH MAIN STREET, WHITLEY CITY, KY 42653
(606) 376-5063
(606) 376-8772
Mailing address
1 NORTH MAIN STREET, WHITLEY CITY, KY 42653
(606) 376-5063
(606) 376-8772
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1312
KY
3416L0300X
Land Ambulance
Primary
1312
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070057
BLUE CROSS BLUE SHIELD
KY
01
—
0769495
UNITED MINE WORKERS ASSOC
—
05
—
109345
—
TN
05
—
55074066
—
KY
01
—
590014296
RAILROAD MEDICARE
—
01
—
874360
BLACK LUNG
—
Enumeration date
10/16/2006
Last updated
01/08/2013
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