Organization
TRIMBLE COUNTY FISCAL COURT
Active
Other names
Trimble Co EMS
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY KEITH STEVENS (TRIMBLE JUDGE EXECUTIVE)
(502) 255-7196
Entity
Organization
Contact information
Practice address
4832 HWY 421 N, BEDFORD, KY 40006
(502) 255-0062
(502) 255-0063
Mailing address
PO BOX 312, BEDFORD, KY 40006
(502) 255-0062
(502) 255-0063
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1418
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000261201
BLUE CROSS BLUE SHIELD
KS
01
—
1163332
PASSPORT HEALTH
KY
01
—
2439746000
PASSPORT ADVANTAGE
KY
05
—
55000541
—
KY
05
—
56027279
—
KY
Enumeration date
06/09/2006
Last updated
08/22/2020
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