Organization
RUSSELL COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY COOTS DIRECTOR (DIRECTOR)
(270) 343-1440
Entity
Organization
Contact information
Practice address
108 FERCO WAY, JAMESTOWN, KY 42629-2438
(270) 343-6464
(270) 343-6462
Mailing address
108 FERCO WAY, JAMESTOWN, KY 42629-2438
(270) 343-6464
(270) 343-6462
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55104038
—
KY
05
—
56005283
—
KY
Enumeration date
02/11/2008
Last updated
02/11/2008
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