Organization
WASHINGTON COUNTY TREASURER
Active
Other names
Washington County Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE PHILLIPS (DIRECTOR OF EMS)
(859) 336-5435
Entity
Organization
Contact information
Practice address
126 ARMORY HILL, SPRINGFIELD, KY 40069-1204
(859) 336-5435
(859) 336-5407
Mailing address
836 4TH AVENUE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070459
ANTHEM BCBS OF KY
KY
01
—
1065143
PASSPORT
KY
05
—
200282750A
—
IN
01
—
243448100
PASSPORT ADVANTAGE
KY
05
—
55115018
—
KY
05
—
56004898
—
KY
01
—
590008716
RAILROAD MEDICARE
KY
Enumeration date
07/22/2005
Last updated
07/15/2024
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