Organization
TRANSCARE OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM GRIPPA (CHIEF)
(513) 209-0206
Entity
Organization
Contact information
Practice address
100 KIMBERLY LN, WILLIAMSTOWN, KY 41097-9458
(513) 209-0206
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1487
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000066192
ANTHEM
KY
01
—
000001164510
CHA
KY
05
—
55059174
—
KY
Enumeration date
08/01/2005
Last updated
04/20/2008
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