Organization
MERCER COUNTY EMERGENCY MEDICAL SERVICES, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL W PARKS (DIRECTOR)
(859) 734-4486
Entity
Organization
Contact information
Practice address
130 COMMERCIAL DR, HARRODSBURG, KY 40330-1084
(859) 734-4486
(859) 734-4484
Mailing address
130 COMMERCIAL DR, HARRODSBURG, KY 40330-1084
(859) 734-4486
(859) 734-4484
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1365
KY
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070364
ANTHEM BCBS
KY
05
—
55084024
—
KY
05
—
56004385
—
KY
01
—
590011709
RR MEDICARE
KY
Enumeration date
07/09/2005
Last updated
09/08/2021
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