Organization
MERCY REGIONAL EMERGENCY MEDICAL SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY JEFFREY (EMS DIRECTOR)
(270) 443-6529
Entity
Organization
Contact information
Practice address
3551 COLEMAN RD, PADUCAH, KY 42001
(270) 443-6529
(270) 444-9128
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-8413
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1011
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519184
—
TN
05
—
55073050
—
KY
05
—
56007172
—
KY
Enumeration date
12/06/2005
Last updated
04/05/2021
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