Organization
OWEN COUNTY FISCAL COURT
Active
Other names
Owen County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL T WOODYARD (COUNTY EXECUTIVE)
(502) 484-3405
Entity
Organization
Contact information
Practice address
208 EAST BLANTON STREET, OWENTON, KY 40359
(502) 484-5214
(502) 484-3958
Mailing address
100 NORTH THOMAS STREET, OWENTON, KY 40359
(502) 484-3405
(502) 484-1004
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1141
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070457
BLUE CROSS BLUE SHIELD
KY
05
—
1080147
—
KY
01
—
1080147PASSPORTHEALT
PASSPORT HEALTH
KY
01
—
2435453000
PASSPORT ADVANTAGE
KS
01
—
2435453000PASSPORTAD
PASSPORT ADVANTAGE
KS
05
—
55094015
—
KY
05
—
55094015EMERGENCY
—
KY
05
—
56004575
—
KY
05
—
56004575NON-EMERGENC
—
KY
Enumeration date
04/26/2006
Last updated
12/15/2023
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