Organization
MASON COUNTY
Active
Other names
Maysville Mason County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE A CARPENTER (CHIEF)
(606) 564-9411
Entity
Organization
Contact information
Practice address
216 BRIDGE ST, MAYSVILLE, KY 41056-1208
(606) 564-9411
(304) 521-1576
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1506
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246937
ANTHEM
KY
05
—
2348721
—
OH
01
—
2448602000
PASSPORT ADVANTAGE
KY
01
—
50007449
PASSPORT
KY
05
—
55081012
—
KY
05
—
560052266
—
KY
01
—
590015160
RAILROAD MEDICARE
KY
Enumeration date
07/13/2005
Last updated
09/30/2024
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