Organization
CARTER CO EMERGENCY AMBULANCE SERVICE DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY HORN (CHIEF)
(606) 474-8181
Entity
Organization
Contact information
Practice address
12 CROSSBAR RD, GRAYSON, KY 41143-1551
(606) 474-8181
(606) 474-0529
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1174
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200521230A
—
IN
05
—
2504098
—
OH
05
—
55022016
—
KY
05
—
56003668
—
KY
01
—
590005372
RAILROAD MEDICARE
KY
Enumeration date
07/13/2005
Last updated
04/03/2013
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