MEDICARE: UNION EMERGENCY SERVICES ALLIANCE

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	341600000X	Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	590007940	OTHER	KY	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	611214097	OTHER	KY	TRICARE
2	000000070280	OTHER	KY	ANTHEM
3	61121409700	OTHER	OH	OH WORKERS COMP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912907858
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNION EMERGENCY SERVICES ALLIANCE

Provider Business Mailing Address
First Line	:	PO BOX 1477
Second Line	:
City	:	FLORENCE
State	:	KY
Zip	:	41022-1477
Country	:	US
Telephone Number	:	800-962-1484
Fax Number	:	513-772-4464

Provider Business Practice Location Address
First Line	:	9611 US HIGHWAY 42
Second Line	:
City	:	UNION
State	:	KY
Zip	:	41091-8810
Country	:	US
Telephone Number	:	859-384-3342
Fax Number	:	859-384-5261

Authorized Official
Title or Position	:	CHIEF
Name	:	MICHAEL MORGAN
Credential	:
Telephone Number	:	859-384-3342

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	01/26/2009

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Directions to “UNION EMERGENCY SERVICES ALLIANCE ” Practice Location

Language	Start Address	Practice Location

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