Organization
CARLISLE COUNTY FISCAL COURT
Active
Organization
CARLISLE COUNTY FISCAL COURT
Active
Other names
Carlisle County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RAY GLOVER (DIRECTOR)
(270) 855-0822
Entity
Organization
Contact information
Practice address
65 JOHN ROBERTS DR STE A, BARDWELL, KY 42023-8002
(270) 628-0248
(270) 628-9144
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1005
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070435
ANTHEM
KY
05
—
55020010
—
KY
01
—
590087338
RAILROAD MEDICARE
KY
05
—
7100544090
—
KY
Enumeration date
01/25/2006
Last updated
04/05/2021
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