Organization
SHELBY COUNTY EMERGENCY MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRETT BARNES (CHIEF OF OPERATIONS)
(502) 633-5725
Entity
Organization
Contact information
Practice address
101 OLD SEVEN MILE PIKE, SHELBYVILLE, KY 40065-8816
(502) 633-5725
(502) 633-5949
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
650-1118
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070040
ANTHEM
KY
01
—
1067907
PASSPORT
KY
05
—
55106017
—
KY
05
—
56005523
—
KY
01
—
590587016
UNITED HEALTH CARE/RAILRO
KY
Enumeration date
09/28/2006
Last updated
11/29/2018
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