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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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