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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