Organization
JESSAMINE COUNTY FISCAL COURT
Active
Other names
JESSAMINE COUNTY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES GOODPASTER (DIRECTOR/ CHIEF)
(859) 887-2987
Entity
Organization
Contact information
Practice address
101 S 2ND ST, NICHOLASVILLE, KY 40356-1554
(859) 887-2987
(859) 881-0940
Mailing address
101 S 2ND ST STE B, NICHOLASVILLE, KY 40356-1554
(598) 872-9878
(859) 881-0940
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1449
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070456
ANTHEM
KY
05
—
55057020
—
KY
05
—
560004161
—
KY
01
—
590007628
RAILROAD MEDICARE
KY
Enumeration date
06/01/2005
Last updated
02/15/2021
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