Organization
HOPKINSVILLE-CHRISTIAN COUNTY AMBULANCE SERVICE
Active
Organization
HOPKINSVILLE-CHRISTIAN COUNTY AMBULANCE SERVICE
Active
Other names
Hopkinsville Christian County Emergency Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN T FUTRELL (FIRE CHIEF)
(270) 890-1400
Entity
Organization
Contact information
Practice address
112 PHILLIP MEACHAM WAY, HOPKINSVILLE, KY 42240-2340
(270) 890-1400
(270) 632-2060
Mailing address
PO BOX 117658, ATLANTA, GA 30368-7658
(270) 890-1400
(270) 632-2060
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
1019
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070306
ANTHEM BLUE CROSS
KY
01
—
083440000
UMWA HEALTH & RETIREMENT
—
05
—
4582421
—
TN
05
—
55001374
—
KY
05
—
56029697
—
KY
01
—
609250800
FEDERAL BLACK LUNG PROGRAM
—
01
—
92271
COVENTRY CARES, MCO MEDICAID
KY
01
—
N296272
WELLCARE, MCO MEDICAID
KY
Enumeration date
07/04/2005
Last updated
01/12/2024
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