Organization
MEADE COUNTY FISCAL COURT
Active
Other names
Meade County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
CORISSA WALTERS (DIRECTOR)
(270) 422-4023
Entity
Organization
Contact information
Practice address
999 ARMORY PLACE, BRANDENBURG, KY 40108
(270) 422-4023
(270) 422-4083
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1091
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070437
BCBS
KY
01
—
000000070437
BCBS
—
01
—
1073726
PASSPORT
KY
01
—
406590425
RAILROAD MEDICARE
KY
05
—
55082028
—
KY
05
—
56004336
—
KY
01
—
627327300
DOL - FECA/ BLACK LUNCH/ ENERGY
KY
01
—
=========
CARESOURCE
KY
01
—
N724825
WELLCARE
KY
Enumeration date
11/09/2006
Last updated
03/06/2023
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