Organization
CLAY COUNTY FISCAL COURT
Active
Other names
Clay County Emergency Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY H. WAGERS (EMS DIRECTOR)
(606) 598-8413
Entity
Organization
Contact information
Practice address
115 COURT ST, MANCHESTER, KY 40962
(606) 598-8413
(606) 598-1875
Mailing address
102 RICHMOND RD, MANCHESTER, KY 40962
(606) 598-8413
(606) 598-1875
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000331660
BLUE CROSS BLUE SHIELD
KY
01
—
057235700
BLACK LUNG
KY
01
—
0717614
UNITED MINE WORKERS
KY
01
—
1069742
PASSPORT HEALTH
KY
01
—
2434809000
PASSPORT ADVANTAGE
KY
05
—
2577377
—
OH
05
—
55026017
—
KY
05
—
56003734
—
KY
Enumeration date
04/28/2006
Last updated
01/19/2016
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