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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