Organization
COUNTY OF POWELL
Active
Organization
COUNTY OF POWELL
Active
Other names
Powell County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANTHONY PUCKETT (EMS DIRECTOR)
(606) 663-4116
Entity
Organization
Contact information
Practice address
56 ATKINSON ST, STANTON, KY 40380-2514
(606) 663-0376
(304) 521-1576
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186228
ANTHEM
KY
01
—
080039700
BLACK LUNG
KY
01
—
50011154
PASSPORT
KY
05
—
55000178
—
KY
05
—
56015217
—
KY
01
—
590014482
RAILROAD MEDICARE
KY
Enumeration date
07/14/2005
Last updated
05/05/2026
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