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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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