Organization
ESTILL COUNTY EMS
Active
Organization
ESTILL COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARREN G MUNCIE (DIRECTOR)
(606) 723-2124
Entity
Organization
Contact information
Practice address
22 MERCY COURT, IRVINE, KY 40336-9998
(606) 723-2124
(304) 521-1576
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 521-1576
(304) 521-1576
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070069
ANTHEM
KY
01
—
083445300
BLACK LUNG
KY
01
—
1143774
PASSPORT
KY
01
—
406590715
RR MEDICARE
KY
05
—
55033013
—
KY
05
—
56003916
—
KY
Enumeration date
07/14/2005
Last updated
10/04/2023
Update your record
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