Healthcare Provider Details

I. General information

NPI: 1598722076
Provider Name (Legal Business Name): CARROLL CO FISCAL COURT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 03/12/2021
Certification Date: 03/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

829 POLK ST
CARROLLTON KY
41008
US

IV. Provider business mailing address

440 MAIN ST
CARROLLTON KY
41008
US

V. Phone/Fax

Practice location:
  • Phone: 502-732-7018
  • Fax: 502-732-7124
Mailing address:
  • Phone: 502-732-7019
  • Fax: 502-732-7124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1132
License Number StateKY

VIII. Authorized Official

Name: MR. HAROLD TOMLINSON
Title or Position: JUDGE EXECUTIVE
Credential:
Phone: 502-732-7018