Organization
EAST END AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH BENGE (CHIEF)
(606) 355-7412
Entity
Organization
Contact information
Practice address
602 ELM ST, CRAB ORCHARD, KY 40419-9793
(606) 355-7412
(606) 355-7998
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1440
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000271660
ANTHEM
KY
05
—
55069033
—
KY
05
—
56025596
—
KY
01
—
590015161
RAILROAD MEDICARE
KY
Enumeration date
07/14/2005
Last updated
03/22/2011
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