Organization
MCKINNEY AREA RESCUE SQUAD INC TT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY D JOHNSON (CHAIRMAN)
(606) 346-5300
Entity
Organization
Contact information
Practice address
3305 MIDDLEBURG RD, MCKINNEY, KY 40448-0117
(606) 346-5300
(606) 346-5300
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-0834
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1561
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198881
ANTHEM BLUE CROSS
KY
05
—
55069066
—
KY
05
—
56004310
—
KY
01
—
590005636
RAILROAD MEDICARE
—
Enumeration date
02/01/2007
Last updated
04/25/2013
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