Organization
LAFFERTY ENTERPRISES, INC.
Active
Other names
Trans-Star Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CRISTAL DAWN BILLITER (OFFICE MANAGER)
(606) 886-7030
Entity
Organization
Contact information
Practice address
587 N LAKE DR, PRESTONSBURG, KY 41653-1278
(606) 886-7030
(606) 886-9322
Mailing address
PO BOX 1263, PRESTONSBURG, KY 41653-5263
(606) 886-7030
(606) 886-9322
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1188
KY
3416L0300X
Land Ambulance
1376
KY
3416L0300X
Land Ambulance
1429
KY
3416L0300X
Land Ambulance
1611
KY
3416L0300X
Land Ambulance
1612
KY
3416L0300X
Land Ambulance
3010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070423
BLUE CROSS BLUE SHIELD
KY
01
—
080022800
FEDERAL BLACK LUNG
KY
05
—
55036099
—
KY
05
—
56008238
—
KY
01
—
590012760
RAILROAD MEDICARE
KY
Enumeration date
09/16/2005
Last updated
08/27/2013
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