MEDICARE: RURAL METRO OF LEXINGTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	1547

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590010728	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467556506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RURAL METRO OF LEXINGTON

Provider Business Mailing Address
First Line	:	DEPT 8121
Second Line	:
City	:	CAROL STREAM
State	:	IL
Zip	:	60122-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1135 VERSAILLES RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40508-3115
Country	:	US
Telephone Number	:	180-088-9158
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRYAN GIBSON
Credential	:
Telephone Number	:	901-327-2017

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	08/18/2008

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Directions to “RURAL METRO OF LEXINGTON ” Practice Location

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