Organization
PERRY COUNTY AMBULANCE AUTHORITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J STACY (EMS DIRECTOR)
(606) 439-4776
Entity
Organization
Contact information
Practice address
22 TERRANCE VIEW DR., HAZARD, KY 41701
(606) 439-4776
(606) 439-5193
Mailing address
22 TERRANCE VIEW DR., HAZARD, KY 41701
(606) 439-4776
(606) 439-4776
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0832278
UMWA
KY
01
—
407540578
RAILROAD MEDICARE
KY
05
—
55097034
—
KY
05
—
56004633
—
KY
Enumeration date
03/14/2007
Last updated
05/23/2024
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