Organization
MORGAN COUNTY AMBULANCE TAXING DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLORA LOCKERMAN (DIRECTOR)
(606) 743-7490
Entity
Organization
Contact information
Practice address
412 DOGWOOD LN, WEST LIBERTY, KY 41472-1259
(606) 743-7490
(606) 743-2700
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1167
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070097
ANTHEM BLUE CROSS
KY
01
—
361683100
FEDERAL BLACK LUNG PROGRAM
—
05
—
55088033
—
KY
05
—
56004450
—
KY
Enumeration date
12/12/2005
Last updated
02/26/2018
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