MEDICARE: BROWN AMBULANCE SERVICE INC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590015159	OTHER	KY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000014500	OTHER	KY	CHA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1083653	OTHER	KY	PASSPORT
6	000000074795	OTHER	KY	ANTHEM
7	163165900	OTHER		FEDERAL BLACK LUNG
8	243562100	OTHER	KY	PASSPORT ADVANTAGE
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689672586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROWN AMBULANCE SERVICE INC

Provider Business Mailing Address
First Line	:	PO BOX 589
Second Line	:
City	:	MADISONVILLE
State	:	KY
Zip	:	42431-5011
Country	:	US
Telephone Number	:	270-824-8123
Fax Number	:	270-824-8140

Provider Business Practice Location Address
First Line	:	101 ROGERS PARK
Second Line	:	SUITE 1
City	:	CYNTHIANA
State	:	KY
Zip	:	41031-1242
Country	:	US
Telephone Number	:	859-234-1515
Fax Number	:	859-234-1566

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. JONI DOUGLAS
Credential	:
Telephone Number	:	859-235-0622

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	02/23/2018

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Directions to “BROWN AMBULANCE SERVICE INC ” Practice Location

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