Organization
CITY OF CAMPBELLSVILLE KY
Active
Organization
CITY OF CAMPBELLSVILLE KY
Active
Other names
Campbellsville Taylor County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
TONY YOUNG (MAYOR)
(270) 465-3504
Entity
Organization
Contact information
Practice address
105 SOUTH COLUMBIA AVE, CAMPBELLSVILLE, KY 42718-1337
(270) 465-6717
(270) 789-3135
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000340594
ANTHEM
KY
01
—
086909900
BLACK LUNG
KY
01
—
1063010
PASSPORT
KY
05
—
1864176
—
TN
05
—
200201650A
—
IN
01
—
2445149000
PASSPORT ADVANTAGE
KY
05
—
2645221
—
OH
05
—
55001101
—
KY
05
—
56027774
—
KY
01
—
P00248582
RAILROAD MEDICARE
KY
Enumeration date
07/14/2005
Last updated
02/08/2019
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