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Organization

ALLEN COUNTY COUNTY TREASURER

Active
Other names
ALLEN COUNTY AMBULANCE SERVICE
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN ED TAYLOR (DIRECTOR)
(270) 237-4938
Entity
Organization

Contact information

Practice address
100 LEX CARTER CIR, SCOTTSVILLE, KY 42164-7604
(270) 237-4938
(270) 237-5973
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 237-5973

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
001414
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000640246
ANTHEM / BCBS
KY
01
1720115298
WELLCARE - MEDICAID MCO
KY
05
55002034
KY
05
56003361
KY
01
590013366
RAILROAD MEDICARE
KY
Enumeration date
02/28/2007
Last updated
03/20/2013
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