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Organization

HENRY COUNTY COUNTY TREASURER

Active
Other names
Henry County EMS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SCOTT THOMAS MCCLAMROCH (DIRECTOR SUPERVISOR)
(502) 845-5400
Entity
Organization

Contact information

Practice address
716 S PROPERTY RD, EMINENCE, KY 40019
(502) 845-5400
(502) 845-5711
Mailing address
716 S PROPERTY RD, EMINENCE, KY 40019
(502) 845-5400
(502) 845-5711

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1642
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000070455
BLUE CROSS BLUE SHIELD
KY
01
1066361
PASSPORT HEALTH
KY
01
2434600000
PASSPORT ADVANTAGE
KY
05
55000624
KY
05
56004104
KY
Enumeration date
04/21/2006
Last updated
12/28/2007
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